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报告106例甲状腺癌,术前诊断与病理符合者52例,占49%;不符合者54例,占51%。后者中呈单个腺瘤样肿块而误诊为腺瘤者43例。病理表现呈高分化癌88例,占83%;低分化癌18例,占17%。手术情况。单纯肿瘤切除17例;患叶次全切除19例;一叶切除38例;双叶次全切除5例;患叶切除加对叶大部(近全)切除27例。术后一年以上的102例中获随访者80例,占78%,其中5年以上存活率为60%。并对甲状腺癌手术方式选择作了回顾性讨论。
106 cases of thyroid cancer were reported. 52 cases (49%) matched preoperative diagnosis and pathology, and 54 cases (51%) were inconsistent. In the latter case, a single adenomatoid mass was misdiagnosed as adenoma in 43 cases. The pathology showed 88 cases of well differentiated carcinoma, accounting for 83%; 18 cases of poorly differentiated carcinoma, accounting for 17%. Operation situation. Simple tumor resection in 17 cases; subtotal lobectomy in 19 cases; lobectomy in 38 cases; subtotal lobectomy in 5 cases; lobectomy plus removal of most of the leaves (nearly) in 27 cases. Among the 102 patients who were followed up for more than one year, 80 patients were followed up, accounting for 78%, and the survival rate was over 5 years. The rate was 60%. And thyroid cancer surgery options were reviewed retrospectively.