【摘要】 目的:探讨甲状腺癌误诊原因,减少误诊。方法:回顾15例甲状腺癌误诊的诊治过程。术前诊断均为甲状腺瘤。作B超检查15例,核素扫描2例,术中冰冻切片2例,近全甲状腺切除2例,患侧腺叶大部份切除术13例。结果:术后均作病理检查证实为乳头状癌,均无再次手术。随访3～8年未见复发。结论:全面了解病史,详细的临床检查,重视各项辅助检查,特别注重术中冰冻切片检查,可减少误诊,对误诊的病人视病情考虑再次手术。更多还原

【Abstract】 Objective To discuss the reason of misdiagnosis on thyroid carcinoma and reduce the incidence of it. Methods Diagnostic and remedial processes of 15 cases misdiagnosed are reviewed which were all diagnosed as benign thyroid tumor preoperatively. Thyroid ultrasound in 15 cases and isotope scanning in 2 cases were performed before operation and frozen section were performed intraoperatively in 2 cases. Among 15 cases,subtotal thyroidectomy were taken in 2 and lobectomy in 13. Results Papillary carcinoma were indicated in all cases by pathologic biopsy after operation and none of them were operated again. No recurrence were found by 3～8 years’ follow-up. Conclusion To grasp medical history across the board and attach importance to particular physical examination as well as various assistant tests (especially intraoperative frozen section ) are significant to decrease the incidence of misdiagnosis. For patients who are misdiagnosed,a second-time operation could be taken into account according to state of the illness.更多还原