Intraoperative frozen section on how to avoid missed diagnosis of occult papillary thyroid carcinoma.docVIP

 PAGE \* MERGEFORMAT 3 Intraoperative frozen section on how to avoid missed diagnosis of occult papillary thyroid carcinoma Author: Wang Wei Fu Yanping Jin Yanyan Liu Fang [Keywords:] of intraoperative frozen section missed diagnosis of occult papillary thyroid carcinoma Micro-papillary carcinoma of thyroid cancer due to a small, non-specific clinical symptoms has been called occult cancer, can easily be missed by clinical or pathological examination. To this end, the authors reviewed 52 cases by intraoperative frozen section diagnosis of occult papillary thyroid cancer cases, and further explore the micro-papillary carcinoma of the clinical pathological characteristics, with a view to improve the occult thyroid cancer detection rate of first diagnosis. A clinical data 1.1 General Information Select from June 2003 to December 2006 due to surgery for thyroid disease in cases of frozen section examination were 919 cases, collecting pathology frozen section diagnosis of small papillary thyroid cancer, 52 cases of the study. 1.2 Methods Reviewed 52 cases of small papillary thyroid cancer, frozen section, in addition to 16 cases the tumor is too small (foci amp;lt;0.2cm) the lack of postoperative paraffin section control, the remaining 36 cases were confirmed by paraffin section histology. Longevity in all cases by two doctors Division, double-blind method film-reading. 2 Results 2.1 Clinical features 52 cases of small papillary thyroid carcinoma, 7 cases of preoperative diagnosis of thyroid tumors, the remaining 45 patients were diagnosed as nodular goiter. Multi-treatment patients due to neck discomfort, some requirements for the physical examination found that surgical treatment of thyroid nodules. All patients with T3, T4 and TSH were normal. 52 cases, 8 males, female 44 cases; male to female ratio was 1:5.5. Age of onset of male 29 to 65-year-old, female 29 to 70 years old, found in Bilateral carcinoma of 10 cases, multi-center cancer in 5 cases. T