SEARLS H H, DAVIES O, LINDSAY S
Calif Med. 1952 Feb;76(2):62-5.
During the past 38 years, 260 patients with thyroid carcinoma have been operated upon at the University of California Hospital. In 26 of these patients the first symptom was a mass distant from the thyroid gland, and the gland was considered normal on clinical examination. In all but three of the 26 cases a small carcinoma of the thyroid gland was observed at operation or in pathological examination. Radical neck dissection with either total lobectomy or total thyroidectomy would seem to be the operation of choice in the treatment of these patients. The ultimate prognosis, even in the presence of metastases, is relatively good.Primary carcinoma of the thyroid gland should be considered in the presence of tumors of the side of the neck even in the absence of palpable nodules in the gland itself.
在过去38年中，加利福尼亚大学医院对260例甲状腺癌患者进行了手术。其中26例患者的首发症状是甲状腺以外部位的肿块，临床检查时甲状腺被认为正常。在这26例病例中，除3例之外，其余病例在手术或病理检查中均发现了甲状腺小癌。对于这些患者的治疗，根治性颈清扫术加全叶切除术或全甲状腺切除术似乎是首选手术方式。即便存在转移，最终预后相对较好。即使甲状腺本身未触及结节，颈部一侧出现肿瘤时也应考虑原发性甲状腺癌。
