Clinical diagnosis and treatment of thyroid microcarcinoma
MENG Yan
SHI Jia-kun
Abstract：Objective To discuss the clinical diagnosis and treatment methods of thyroid microcarcinoma. Methods The materials of 37 patients suffering from thyroid microcarcinoma were analyzed. Results Of the patients, only 9 were suspected of suffering from thyroid microcarcinoma before operation, 35 were diagnosed through the frozen section drawn during the operation, accounting for 94.6% and 2 were diagnosed through pathological test after the operation, accounting for 5.4%. At the same time, 17 of them suffered from nodular goiter and 8 cervical lymphatic metastasis. Thirty-three patients received the unilateral thyroidectomy with isthmus resection as well as contralateral subtotal thyroidectomy. Two received bilateral thyroidectomy, 2 bilateral subtotal thyroidectomy with isthmus resection and 8 received functional clearance of cervical lymph nodes. After follow-up visits, it is found that all of them are still living and in good health. Conclusions Thyroid microcarcinoma occurs more often among women and is mainly solitary cancerous nodules. With type B ultrasound test and rapid pathological examination during operation, the detection rate of thyroid microcarcinoma can be improved. It is advocated to actively carry out operation and choose operation modes based on the number of tumors, the distribution conditions as well as whether there is cervical lymphatic metastasis. The prognosis of operation treatment for thyroid microcarcinoma is optimistic but long term follow-up is still needed.
Keywords：Thyroid microcarcinomaDiagnosisSurgery
Publication Date：2011-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)