Clark S S, Childers J C, Poulos E
South Med J. 1976 Dec;69(12):1611-3. doi: 10.1097/00007611-197612000-00037.
A case of occult sclerosing thyroid carcinoma is reported. The primary requirement for diagnosis is that the cancer is less than 1.5 cm in diameter. In addition, a fibrosing component with varying degrees of sclerosis is present. Lymph node metastases are frequent and may appear as benign thyroid follicles. Occasional direct invasion or vascular invasion may occur. Distant metastases were not reported in the series reviewed. Adequate therapy would seem to be total thyroidectomy of the involved lobe and radical subtotal thyroidectomy of the opposite lobe with excision of all enlarged or involved lymph nodes.
报告了一例隐匿性硬化性甲状腺癌病例。诊断的主要要求是癌灶直径小于1.5厘米。此外，存在不同程度硬化的纤维化成分。淋巴结转移很常见，可能表现为良性甲状腺滤泡。偶尔会发生直接侵犯或血管侵犯。在所回顾的系列病例中未报告远处转移。充分的治疗似乎是对受累叶进行全甲状腺切除术，并对另一侧叶进行根治性次全甲状腺切除术，同时切除所有肿大或受累的淋巴结。
