摘要
目的探讨甲状腺微小乳头状癌的临床病理特点。方法对28例原发性甲状腺微小乳头状癌临床和病理资料进行复习,重新阅片确诊。结果形态特征:癌灶呈结节状或纤维瘢痕状,边界不清,灰白色,质较硬,直径为0.1～1.0cm,癌组织有纤维血管轴心的复杂分支乳头状结构及毛玻璃核、核内假包涵体、核沟,纤维间质反应及砂粒体。结论对甲状腺组织标本应仔细观察,书页状切开并多取材,可以提高检出率,减少漏诊。
Objective To explore the clinical pathology characteristics of papillary microcarcinoma of thyreoid. Methods Clinical and pathological data of 28 patients with primary papillary microcarcinoma of thyreoidea were retrospectively studied and finally diagnosed by rereading. Results Morphologic characteristics： nidi of cancer were characteristic with nodosity or fabric cicatricle,grayishwhite,their ambits were unclear and the qualities were pachy, the diameters were about 0.1-1.0cm.The tumors arrayed in complicated branching papillae with fibrous vascular axis and the cancer cells were also with frosted--glass caryons,nuclear pseudoinclusion, nuclear groove, fabric stromal reactions or psammoma bodies. Conclusion Thyreoidea samples discissioed in pages should be observed and selected carefully in order to increase detection rate and decrease the rate of missed diagnosis.
出处
《中国医药指南》
2010年第3期14-15,共2页
Guide of China Medicine
关键词
甲状腺微笑乳头癌
隐匿性
病理
Papillary thyroid microcarcinoma carcinoma
Stealthiness
Pathology
