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本文报道13例甲状腺隐匿癌.其中2例是以颈部淋巴结转移为首发症状.肿块最小仅1mm.病理类型乳头状癌8例,滤泡癌2例,混合型癌3例.11例行腺叶切除术,2例行颈清扫术。甲状腺隐匿癌均伴在其他良性甲状腺疾病中,故对良性肿瘤应行甲状腺切除术,同时对术后标本应仔细寻找可疑病灶,以防遗漏.对于颈部异常肿大淋巴结应及时活检。本组随访2年~10年无复发,预后良好.
This article reports 13 cases of thyroid occult cancer. Among them, the first case was cervical lymph node metastasis. The lump is only 1mm minimum. Pathological types of papillary carcinoma in 8 cases, 2 cases of follicular carcinoma, mixed carcinoma in 3 cases. Eleven patients underwent lobectomy and 2 underwent neck dissection. Thyroid occult cancer is accompanied by other benign thyroid diseases, so benign tumors should be treated with thyroidectomy. At the same time, suspicious lesions should be carefully searched for postoperative specimens to prevent omission. For the abnormal enlargement of the neck, biopsy should be promptly performed. This group of follow-up of 2 years to 10 years without recurrence, a good prognosis.