摘要
目的 观察甲状腺微小癌的病理特征,分析其免疫学表型,研究其淋巴结转移状况,为其预后分析提供指导.方法 选取2012年4月至2014年4月于安阳市第二人民医院接受治疗的40例甲状腺微小癌患者作为研究对象,每例患者均进行光镜检查、病理分析、免疫组化分析,总结其病理特点.结果 检出37例甲状腺微小癌均为乳头状癌,病灶直径0.5～1.0cm者10例,0.1～0.5cm者24例,＜0.1 cm者2例,漏诊3例,符合率为92.5％.结论 为提高甲状腺微小癌冰冻切片诊断的准确率,从取材到阅片整个过程中,必须仔细操作,必要情况下可配合免疫组化测定,以确定诊断结果,确保在手术过程中,采用快速冰冻切片标本明确诊断.
Objective To observe the pathological features of thyroid micro carcinoma,analyze the immunological phenotype,study the lymph node metastasis,and provide the guidance for prognostic analysis.Methods From April 2012 to April 2014,40 cases of occult thyroid cancer treated in the second people＆#39; s hospital of Anyang were selected as the research objects.Each patient was examined by light microscopy,the pathological analysis,immunehistochemical analysis was made,and the pathological features were summarized.Results Thirty-seven cases of thyroid micro carcinoma were papillary carcinoma,the maximum diameter of lesions was 0.5-1.0 cm,accounted for 10 cases,24 cases of 0.1-0.5 cm,2 cases less than 0.1 cm,3 cases were missed diagnosis,the coincidence rate was 92.5%.Conclusions To improve the accuracy of frozen section diagnosis of thyroid micro carcinoma,must be careful operate during whole process from material to read sheet,if necessary,can be matched with the immunehistochemical assay to confirm diagnosis results,ensure that using the fast frozen sections of diagnosis during the operation.
出处
《中国实用医刊》
2015年第17期19-20,共2页
Chinese Journal of Practical Medicine
关键词
甲状腺微小癌
病理
免疫组化
观察
Thyroid mini carcinoma
Pathology
Immunohistochemistry
Observation
