Xie Peng, Deng Honfu, Tan Tianzhi
Department of Nuclear Medicine, West China Hospital, Sichuan University, Chengdu 610041, China.
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2009 Oct;26(5):1167-70.
The recent prevalence of ultrasonography (US) and US-guided fine needle aspiration biopsy (FNAB) can make us easily diagnose papillary carcinoma of 1.0 cm or less in maximal diameter, which is called papillary microcarcinoma. In the face of the fact that cervical lymph node metastasis and multicentricity are two prominent clinical characteristics of papillary thyroid microcarcinoma, the question How to treat papillary microcarcinoma has given rise to controversy. In this review, we discuss the clinical behavior, the appropriate therapeutic strategies, the factors affecting prognosis, and the methods for following up the patients with papillary thyroid microcarcinoma.
近期超声检查(US)及超声引导下细针穿刺活检(FNAB)的普及,使我们能够轻易诊断出最大直径为1.0 cm或更小的乳头状癌,即乳头状微小癌。鉴于颈部淋巴结转移和多中心性是甲状腺乳头状微小癌的两个突出临床特征,如何治疗乳头状微小癌这一问题引发了争议。在本综述中,我们讨论了甲状腺乳头状微小癌患者的临床行为、合适的治疗策略、影响预后的因素以及随访方法。