Lukieńczuk T, Balcerzak W, Szydłowski Z
I Katedry i Kliniki, Chirurgii Akademii Medycznej we Wrocławiu.
Wiad Lek. 1997;50 Suppl 1 Pt 1:21-4.
Among 59 patients with thyroid cancer, we have analysed the diagnostic procedures as: ultra sonography, scintiscan, fine needle aspiration biopsy, intraoperative frozen section examination and extent of surgery. The cancer was often overlooked in patients with multinodular goitre. We suggest to perform total lobectomy on side with greater changes and subtotal lobectomy on the other side of thyroid gland, in patients with multinodular goitre. The decision whether to reoperate should depend on the final pathology report.
在59例甲状腺癌患者中,我们分析了以下诊断程序:超声检查、闪烁扫描、细针穿刺活检、术中冰冻切片检查以及手术范围。在多结节性甲状腺肿患者中,癌症常被漏诊。我们建议,对于多结节性甲状腺肿患者,对病变较大一侧行甲状腺全叶切除术,对另一侧行甲状腺次全叶切除术。是否再次手术应取决于最终的病理报告。