Abstract: 【Abstract】〓Objective〓To report the experience in treatment of thyroid microcarcinoma (TMC). Methods〓A total of 30 cases of TMC undergoing surgical treatment in our hospital from May 2010 to May 2014 were reviewed retrospectively. Results〓Twenty-four cases (80.00%) were found by intraoperative frozen section and 6 cases (20.00%) were diagnosed by pathological examination after operation. Total resection of the affected lobe and isthmus and selective neck dissection (VI) was performed in 14 cases. Subtotal thyroidectomy was performed in 3 cases. Total resection of the affected lobe, isthmus and neck dissection was performed in 7 cases. Subtotal thyroidectomy and neck dissection was performed in one case. There was no mortality in operation or postoperative complication. All of the cases is no recurrence. Conclusion〓With regard to thyroid microcarcinoma, one side lobectomy is a better therapy choice. Neck lymph node excision should be taken if there is local infiltration or if neck lymph node is palpable.

Key words: Thyroid, Microcarcinom, Treatment

摘要： 【摘要】 目的 总结甲状腺微小癌的外科治疗经验。方法 回顾性分析2010年5月至2014年5月收治30例甲状腺微小癌患者的临床资料。结果〓30例病例均行手术切除,其中24例(80.00%)术中冰冻切片证实,6例(20.00%)术后病理确诊。24例中,单侧甲状腺腺叶加峡部切除术加中央区颈淋巴结(VI)清扫术14例;双侧甲状腺全切7例;单侧腺叶、峡部切除术加同侧颈淋巴结清扫术3例。术后病理确诊的6例均采用一侧腺体大部切除。全组30例无手术死亡和术后并发症,随访未见肿瘤复发。结论〓单侧甲状腺腺叶及峡部切除是甲状腺微小癌手术治疗较理想的术式;有淋巴结转移者同时行功能性颈部淋巴结清扫术。

关键词: 甲状腺, 微小癌, 治疗