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甲状腺微小癌八例误诊分析 被引量:6

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摘要 目的:探讨甲状腺微小癌的误诊原因及其预防对策。方法:回顾性分析8例甲状腺微小癌误诊病例的临床资料。结果:本组首发症状为颈前肿物7例,颈部淋巴结增大1例。误诊为结节性甲状腺瘤伴淋巴结增大3例,甲状腺囊肿伴淋巴结增大及单纯甲状腺囊肿各2例,单纯结节性甲状腺瘤1例。8例均行手术治疗,术后病理诊断为乳头状癌7例、滤泡状癌1例。本组术前误诊率高达72.7%(8/11),术中病理检查误诊率12.5%(1/8)。术后平均随访11个月,无死亡、复发及转移病例。结论:甲状腺微小癌的误诊率较高,术前细致查体并结合B超检查有助于提高诊断率,术中仔细探查结节可提高术中冷冻切片病理检查准确率。甲状腺次全切除或大部切除术是主要术式,对于可触及的淋巴结是行淋巴结清扫的临床指征。
出处 《临床误诊误治》 2009年第3期57-58,共2页 Clinical Misdiagnosis & Mistherapy
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