早期甲状腺癌常表现为结节性甲状腺肿,故会延误手术时机。作者收治62例第4期肿瘤患者中。28例曾观察2～55年,而失去根治机会,所以长期观察结节性甲状腺肿患者是不适宜的。已知甲状腺乳头状癌可较早地发生颈淋巴结转移,这即为“隐慝型”癌。文献中广泛地讨论了术前早期诊断15mm 大小, Early stage thyroid cancer often presents as nodular goiter, so it will delay the timing of surgery. The authors treated 62 patients with stage 4 tumors. 28 cases had been observed for 2 to 55 years and lost the opportunity to cure, so long-term observation of patients with nodular goiter is not appropriate. It is known that cervical lymph node metastasis occurs early in papillary thyroid cancer, which is a “hidden” cancer. The early diagnosis of 15 mm in size is widely discussed in the literature.