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目的探讨甲状腺微小癌的临床特点和不同术式治疗对预后的影响。方法回顾分析本院收治的53例甲状腺微小癌病例的临床资料,对临床病理特征、手术方式和预后进行总结。结果本组53例患者中病理组织类型为乳头状癌49例(92.45%),滤泡状癌3例(5.66%),髓样癌1例(1.88%);术后随访6个月~4年,2例复发,行残余甲状腺全切除术,全部患者均无远处转移和死亡。结论甲状腺微小癌手术治疗预后较好,针对不同的患者应选择合适的治疗方案,以使患者取得良好的疗效。
Objective To investigate the clinical features of thyroid microcarcinoma and different surgical treatment of prognosis. Methods The clinical data of 53 cases of thyroid microcarcinoma treated in our hospital were retrospectively analyzed. The clinicopathological features, operation methods and prognosis were summarized. Results The pathological types of the 53 patients were 49 cases of papillary carcinoma (92.45%), 3 cases of follicular carcinoma (5.66%) and 1 case of medullary carcinoma (1.88%). The patients were followed up for 6 months to 4 months Year, 2 cases of recurrence, residual total thyroidectomy, all patients without distant metastasis and death. Conclusion Surgical treatment of thyroid microcarcinoma has a good prognosis, and different patients should choose the appropriate treatment plan so that the patients can obtain good curative effect.