Sugino K, Ito K
Ito Hospital.
Nihon Rinsho. 1996 May;54(5):1354-8.
The term "early cancer of the thyroid" is not clearly defined. Recently, microcarcinoma of the thyroid, less than 10 mm, has been frequently detected and in Ito Hospital smaller papillary carcinoma has increased in these 10 years. As rate of microcarcinoma found in autopsy cases were reported 10-28.4% in Japan, all of thyroid microcarcinoma are not thought to be developed clinically. In our hospital, papillary microcarcinoma diagnosed preoperatively underwent lobectomy with modified neck dissection in principle. Lymph node metastases were found in 65% of patients with papillary microcarcinoma. Further studies and discussion concerned whether thyroid microcarcinoma should be treated and how it should be treated, is necessary.
“早期甲状腺癌”这一术语尚无明确定义。近年来，直径小于10毫米的甲状腺微小癌被频繁检测出，在伊东医院，过去十年间较小的乳头状癌病例有所增加。据报道，日本尸检病例中甲状腺微小癌的检出率为10% - 28.4%，因此并非所有甲状腺微小癌都会发展为临床疾病。在我院，术前诊断为乳头状微小癌的患者原则上接受甲状腺叶切除术及改良颈部淋巴结清扫术。乳头状微小癌患者中65%发现有淋巴结转移。关于甲状腺微小癌是否需要治疗以及应如何治疗，仍有必要进行进一步的研究和讨论。
