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目的本文回顾分析了本院自1973年10月至1997年10月收治的隐匿性甲状腺癌30例,占同期甲状腺癌病人的4.4%。其中以颈部淋巴结转移为首发症状者10例,以甲状腺肿块为首发症状者20例。方法全部患者均手术治疗。结果随访1～24年。全组5、10、15、20年生存率分别为100%、92.5%、90.0%、90.0%,其10年生存率与Ⅰ、Ⅱ期甲状腺癌无明显差异。结论治疗上要采取积极的态度。
Objective This paper retrospectively analyzed 30 cases of occult thyroid cancer admitted to our hospital from October 1973 to October 1997, accounting for 4.4% of thyroid cancer patients in the same period. Among them, 10 cases were diagnosed as cervical lymph node metastasis and 20 cases were thyroid tumor as the first symptom. Methods All patients were surgically treated. The results were followed up for 1 to 24 years. The 5, 10, 15 and 20-year survival rates were 100%, 92.5%, 90.0% and 90.0% respectively. The 10-year survival rate was not significantly different from that of stage I and II thyroid cancer. Conclusion The treatment should take a positive attitude.