CAJ | 학술논문

目的：：探讨甲状腺微小癌(TMC)的治疗方法。方法：对96例TMC患者的临床资料作回顾性分析。结果：本组96例中因甲状腺良性疾病手术而发现74例，超声检查发现91例(可疑)，超声引导下细胞学穿刺检查发现22例。行患侧甲状腺腺叶切除18例，腺叶切除+对侧次全切除24例，甲状腺次全切除12例，甲状腺大部切除10例，甲状腺癌改良根治术32例。90例随访1年～11年，未见肿瘤复发和转移。结论：TMC多因甲状腺良性疾病手术而发现，高分辨率彩色超声及B超引导下细针穿刺活检有助于本病的确诊。选择恰当的术式，既清除病灶又避免不必要的过度治疗。
목적：：탐토갑상선미소암(TMC)적치료방법。방법：대96례TMC환자적림상자료작회고성분석。결과：본조96례중인갑상선량성질병수술이발현74례，초성검사발현91례(가의)，초성인도하세포학천자검사발현22례。행환측갑상선선협절제18례，선협절제+대측차전절제24례，갑상선차전절제12례，갑상선대부절제10례，갑상선암개량근치술32례。90례수방1년～11년，미견종류복발화전이。결론：TMC다인갑상선량성질병수술이발현，고분변솔채색초성급B초인도하세침천자활검유조우본병적학진。선택흡당적술식，기청제병조우피면불필요적과도치료。
Objective: To investigate the diagnosis and treatment of thyroid microcarcinoma (TMC). Methods :The clinical data of 96 cases with TMC treated from Jan. 1997 to Dec. 2009 were retrospectively analyzed. Results: In 96 cases 74 were combined with other benign thyroid diseases. 91 cases were indicated as doubtful thyroid carcinoma by B ultrasonography. 22 cases were diagnosed by biopsy guided by ultrasonography. 18 cases of total lobectomy, Lobectomy of involved lobe with subtotalthyroidectomy of contra 2 lateral lobe was performed in 24 cases, 12 cases of subtotal thyroidectomy,10 cases of portion thyroidectomy,32 cases of improved radical operation of thyroid carcinoma. 90 patients were fol owed-up from 6 to 144 months, No recurrence or mortality was discovered. Conclusion :TMC combined common with other benign thyroid diseases.High-resolution color Doppler ultrasound and biopsy guided by ultrasonography help to diagnose TMC,and pertinent operation type can eliminate tumors and avoid unnecessary excesst reatment.