Demidov V P, Gol'bert Z V, Voronetskiĭ I B, Sergeev S A
Vopr Onkol. 1981;27(1):9-15.
Among 338 patients operated upon for "nodes" in the thyroid in 31.4% of cases there was found small cancer (up to 1 cm in diameter), determined microscopically and visually. A clinico-morphological definition of early thyroid cancer is suggested. It is emphasized that for the recognition of early thyroid cancer being successful a complex diagnostic method is essential, which comprises clinical, roentgenological, thyroidolymphographic, radioisotope, cytological and histological studies. The method concerned makes it possible to increase considerably (up to 77.4%) the rate of recognition of early thyroid cancer, while the operations, performed after the extrafascial technic, would provide for an adequate therapy in due course and a favourable prognosis.
在338例因甲状腺“结节”接受手术的患者中,31.4%的病例经显微镜和肉眼检查发现有小癌(直径达1厘米)。本文提出了早期甲状腺癌的临床形态学定义。强调要成功识别早期甲状腺癌,综合诊断方法至关重要,该方法包括临床、放射学、甲状腺淋巴造影、放射性同位素、细胞学和组织学研究。相关方法可大幅提高(高达77.4%)早期甲状腺癌的识别率,而采用筋膜外技术进行的手术将在适当的时候提供充分的治疗并带来良好的预后。