摘要
目的提高甲状腺髓样癌的术前诊断率。方法回顾性分析15例甲状腺髓样癌的临床资料。结果髓样癌除合并内分泌综合征者外，绝大多数与其他类型甲状腺癌相似，多以颈部肿块就诊，术前确诊困难，误诊率较高；多数系术中冰冻病理或术后病理确诊。结论甲状腺髓样癌术前确诊困难，因此我们应采取以测定血清降钙素为主等一系列检测手段来作为甲状腺髓样癌的术前诊断程序。
Objective To increase the preoperative diagnosis rate of medullary carcinoma of thyroid （MTC）. Methods Fifteen cases of MTC subject to surgical treatment were retrospectively reviewed. Results Except the MTC associated with endocrine syndrome, most MTC were similar to other types of goiter cancers. The clinical manifestations in most patients with MTC were the cervical mass. The preoperative diagnosis of MTC was difficult and the misdiagnosis rate was high. Most of MTC was confirmed by freezing pathology during operation or paraffin pathology postoperation. Conclusion MTC was difficult to be diagnosed preoperatively, so we should take a series of measures as preoperatively diagnosed pro- gram of MTC.
出处
《临床外科杂志》
2009年第6期400-401,共2页
Journal of Clinical Surgery
关键词
甲状腺髓样癌
术前确诊
降钙素
medullary carcinoma of thyroid
preoperative diagnosis
calcitonin
