The Analysis Of Diagnosis And Treatment Of Thyroid Microcarcinoma

Objective To explore the effect of different surgical options in clinical diagnosis and surgical treatment of thyroid microcarcinoma .Methods Collecting 53 cases of the Affiliated Hospital of Qinghai University who were admitted pathological thyroid microcarcinoma from January 2005 to May 2010, to analysis the effect of prognosis based on the patient's gender, age, primary tumor foci, Pathological types and prognosis of different surgical options.Results In the group of 53 patients, the highest prevalence rate was from 50 to 59 years old, the lowest rate was in patients more than 60 years. The ratio was 1:4.9 between men and women. Confirmed by thyroid ultrasound diagnosis and intraoperative frozen section, mainly surgical was isthmus + ipsilateral gland + contralateral subtotal resection of the gland, occupying 66.0%, 19 cases (35.8%) patients were without cervical lymph node cleaning.Pathological examinations showed 50 cases of papillary carcinoma (94.3%), 2 cases of follicular carcinoma (3.8%), 1 case (1.9%) of medullary carcinoma. 3 patients of postoperative hoarseness (5.7%), 2 cases of drinking water cough (3.8%), they were gradually restored with physiotherapy and per os neurotrophic drugs after six months treatment .All patients per os thyroid hormone tablets or youjiale in a long-term and adjust the dose according to thyroid function. 3 cases recurred after follow-up visiting for 2 months to 5 years.Conclusion1. The onset of thyroid microcarcinoma was secluded, and the clinical manifestation was not typical, which was not discovered by preoperative clinical examination, so the rate of misdiagnosis and diagnosis was higher.2. Preoperative ultrasound examination and needle needles suck cytology, cervical lymph node biopsy and intraoperative frozen pathological and related inspection can improve the diagnosis rate of thyroid preoperative and perioperative thyroid microcarcinoma.3.Prognosis with surgery and endocrine therapy was good, which can obviously reduce the recurrence rate of thyroid microcarcinoma postoperatively.4.The recurrence of postoperation was related to recurrent tumors, multiple lesions sporadic and presence of coated but not related to gender, age, and tumor size.