Clinical analysis of thyroid.docVIP

 PAGE \* MERGEFORMAT 6 Clinical analysis of thyroid [Keywords:] thyroid cancer, thyroid cancer, clinical analysis Thyroid (thyroid microcarcinoma, TMC) due to its small size, the incidence of occult, and often co-exist with other diseases, thyroid [1], clinical often easy to misdiagnosis, delayed treatment. In this paper, our hospital from January 2002 to January 2008 TMC cases of 38 patients were treated, the clinical features of the clinical analysis of TMC is as follows. 1 Materials and Methods 1.1 Clinical data The group of 38 patients, 9 males and 29 females, aged 25 to 75 years old. Duration of 1 month to 18 years, an average of 2 to 3 months. To find the treatment of thyroid nodules in 36 cases, cervical lymph nodes 2 cases. B-ultrasound detection of thyroid nodules 84, nodular diameter 0.2 ~ 1.0 cm, an average of 0.7 cm, of which 26 with calcification of the nodules, diagnosis, 7 cases of .25 cases of suspected cancer, preoperative thyroid scan and found that thyroid 36 nodules, including 10 cold nodules, 18 nodules cool, warm nodules 8. the whole group underwent intraoperative frozen biopsy, 35 nodules were found. 1.2 Procedures Unilateral gland, isthmus, subtotal contralateral gland in 22 cases, the affected side in 8 cases of thyroid gland lobectomy, subtotal resection in 4 cases, total thyroidectomy in 3 cases, nodules removed in 1 case. The same period plus a single line lateral neck lymph node dissection in 21 cases clean, bilateral neck dissection in 2 cases. 2 Results Simple TMC12 cases, TMC combined 26 cases of benign lesions, which combined for the 19 patients with nodular goiter, Hashimoto’s disease in 4 cases, 1 case of follicular adenoma, nodular goiter and follicular adenoma in 1 case , Hashimoto’s disease and 1 case of follicular adenoma in patients with single foci .38 32 (84.2%), multiple foci in 6 patients (15.8%) .23 cleaning routine dissection of cervical lymph node metastasis who have 8 cases. There were n