摘要
目的 :探讨甲状腺微小癌的病理特征及临床特点。方法 :对 48例甲状腺微小癌进行临床病理分析 ,常规制片HE染色。结果 :48例均为乳头状癌。大体标本 :切面呈灰白色 ,有的灰白色放射状瘢痕样 ,质地中等 ,部分较脆 ,无包膜。随访 43例健在 ,5例失访。结论 :甲状腺微小癌不少见 ,术前大多难以确诊 ,常在术后标本检查时被偶然发现 ,手术切除后预后良好。以锐刀每 0 .2cm作扇形切开 ,取下全部灰白区或瘢痕样组织做病理切片 。
Objective:To discuss the diagnostic pathological characters and the clinical characterstics of microcarcinoma of thyroid.Methods:48 patients having microcarcinoma were reviewed by histopathology(HE staining).Results:The patients with microcarcinoma of the cut-surfaces were gray-white, some were radiately scar-likely gray-white. They had middle hard texture, no capsule. Histological types: The 48 cases were all papillary carcinoma. 43 patients were alive except 5losing followed-up.Conclusions:Patients with microcarcinoma of thyroid were not rare. They were mostly difficult to diagnose preoperativel and frequently found by chance of other thyroid operations. The prognosis were well after operation. The gross samples should be checked carefully. Using sharp; knife to chop up the samples fan-shapedly per 0.2cm, take all gray-white parts of scar-like tissues to make pathological slides. In this way, misdiagnosis will be avoided.
出处
《交通医学》
2003年第1期83-84,共2页
Medical Journal of Communications
