【摘要】 目的　探讨隐匿性甲状腺癌的外科治疗方法。方法　对 1983年 2月～ 1997年 7月 61例隐匿性甲状腺癌的临床资料进行回顾性分析。结果　以甲状腺肿块为首发症状 2 3例 ( 3 7.7% ) ,以颈淋巴结转移为首发症状 3 5例 ( 5 7.4% ) ,以远处转移为首发症状 3例 ( 4 .9% )。全部病例均行手术治疗。行原发灶侧腺叶加峡部切除术 5 2例 ,行腺叶次全切除术 9例。行颈清扫术 41例。术后复发 1例。结论　原发灶行腺叶加峡部切除术即可 ,仅行腺叶次全切除术者 ,术后应定期随访。单纯甲状腺肿物者应根据术后病理情况决定是否行预防性颈清扫术。更多还原

【Abstract】 ? Objective To investigate the surgical management on occult thyroid carcinoma(OTC).Methods Clinial data of 61 cases of OTC were retrospectively analysed.Results Among 61 cases,23(37.7%),35(57.4%) and 3(4.9%)cases were found with primary symptom of thyroid mass,cervical lymph node metastasis and distant metastasis respectively.Operation was performed on all cases.Among them,there were 52 cases receiving total thyroidectomy of the affected lobe plus isthmic resections and 9 cases receiving subtotal thyroidectomy,there were 41 cases receiving neck dissection.The postoperative recurrence was found in one case.Conclusions Lobectomy plus isthmic resection is needed for primary lesion,and a preventive neck dissection is depended on the pathologic type of OTC.The patients receiving subtotal thyroidectomy resection should be followed up periodically. 〔更多还原