Staunton M D, Greening W P
Br Med J. 1973 Dec 1;4(5891):532-5. doi: 10.1136/bmj.4.5891.532.
In a survey of 293 patients with carcinoma of the thyroid, a goitre or enlarged lymph nodes in the neck were the commonest symptoms and a mass confined to one lobe the commonest sign. Hardness of the mass was an important diagnostic feature, and at least two-thirds of the tumour could be recognized before operation. It is suggested that the preoperative evaluation of thyroid swellings should be classified as benign, cancer suspected, and cancer probable.
在一项对293例甲状腺癌患者的调查中,甲状腺肿或颈部淋巴结肿大是最常见的症状,局限于一叶的肿块是最常见的体征。肿块的硬度是一项重要的诊断特征,至少三分之二的肿瘤在手术前就能被识别出来。建议对甲状腺肿大的术前评估应分为良性、疑似癌和可能癌。