摘要
目的探讨甲状腺微小乳头状癌临床病理特点。方法对14例原发性甲状腺微小乳头状癌临床和病理资料进行复习、重新阅片确诊。结果女13例,男1例,年龄18岁-76岁,平均48.3岁,高峰40.3岁—53岁。形态特征:癌灶呈结节状或纤维瘢痕状,灰白或棕黄色,界限不清,质硬,大小约为0.2cm-1.0cm,瘤细胞呈乳头状结构,毛玻璃状核、核内包涵体、核沟,纤维性间质反应或砂粒体。结论对甲状腺标本作书页状切开,仔细观察,并多取材、连续切片、可提高检出率,减少漏诊;病变甲状腺腺叶单纯切除,对无淋巴结转移者,预后良好。
objective To explore the clinical pathology characteristics of papillary microcareinoma of thyreoid. Methods Clinical and pathological data of 14 patients with primary papillary microcareinoma of thyreoidea were retrospectively studied and finally diagnosed by rereading. Results 14 cases were included in the analysis in which 13 was female and 1 was male. Their ages ranged from 18 to 76 years, the average age was 48.3 years and peaked age ranged from 40.3 to 53 years. Morphologic characteristics： nidi of cancer were characteristic with nodosity or fabric cicatricle, grayish-white or bully, their ambits were unclear and the qualities were pachy, the sizes were about 0.2-1.0cm. The cancer cells arrayed in mamillae with frosted-glass ca,Tons, nuclear inclusions, nuclear fissures, fabric stromal reactions or grits. Conclusions Thyreoidea samples discissioed in pages were observed carefully, selected everywhere and were made in microtome sections continuously in order to enhance detection rate and reduce the rate of missed diagnosis. Patients without lymphonodus metastasize were operated with simple pathologic glandula thyreoidea leafages ablate ectomy and had good prognosises.
出处
《海南医学》
CAS
2007年第2期27-28,14,共3页
Hainan Medical Journal
关键词
甲状腺
微小癌
临床病理
Thyreoidea
minimum cancer
, clinical pathology
