Bramley M D, Harrison B J
Department of Surgery, Northern General Hospital NHS Trust, Sheffield, UK.
Br J Surg. 1996 Dec;83(12):1674-83. doi: 10.1002/bjs.1800831206.
Papillary microcarcinomas are a specific subgroup of papillary thyroid cancer. They have the same histological features as papillary thyroid cancer but are 1.0 cm or less in diameter. These tumours are a common incidental finding at autopsy and in thyroid glands excised for other pathology. This tumour can metastasize to regional lymph nodes but its ability to cause significant morbidity and mortality has been questioned. As papillary microcarcinomas can represent up to 30 per cent of all papillary cancers seen in a thyroid surgeon's practice, they are an important group. The aim of this review article is to outline the natural history of papillary microcarcinoma and to offer therapeutic management strategies.
微小乳头状癌是甲状腺乳头状癌的一个特定亚组。它们具有与甲状腺乳头状癌相同的组织学特征，但直径为1.0厘米或更小。这些肿瘤在尸检以及因其他病理情况而切除的甲状腺中是常见的偶然发现。这种肿瘤可转移至区域淋巴结，但其导致严重发病和死亡的能力受到质疑。由于微小乳头状癌在甲状腺外科医生所诊治的所有乳头状癌中占比可达30%，因此它们是一个重要的群体。这篇综述文章的目的是概述微小乳头状癌的自然病程并提供治疗管理策略。
