Progress In Diagnosis And Surgical Treatment Of Thyroid Micropapillary Carcinoma

Papillary thyroidmicrocarcinoma is a special type of thyroid cancer subtypes the largest diameter 10 mm or less.In recent years,with the improvement of people's health consciousness,And new type auxiliary diagnosis methods such as high resolution ultrasound imaging is widely used in clinic,rate of thyroid papillary carcinoma is present a clear rising trend.Today,new cases of thyroid cancer,PTMC proportion has reached more than 50%.PTMC have clinical symptom is not typical,small size and relatively slow disease progression is not easy to check out the characteristics of clinical for early detection and diagnosis of PTMC has certain difficulties.At the same time,PTMC is not the carcinoma and precancerous lesions of PTC.PTMC's biological characteri-stics is the same as the PTC exists local infiltration and transfer tendency analysis.But due to the vast majority of PTMC in subclinical state,hidden,will not affect the patients quality of life,whether need for immediate surgery,and surgery for primary tumors of local lymph node excision scope and the need for preventive cleaning etc remains controversial.Along with the progress of the diagnosis technology,the high resolution ultrasound,CT,MRI and other imaging diagnosis technology and fine needle biopsy,hands frozen pathology pathological diagnosis technology,more extensive application in clinic,the corresponding research has to be more perfect,greatly enhance the accuracy of diagnosis.PTMC before condition assessment and plan for the establishment of treatment also appears more important.A large number of clinical practice and research conclusion shows that the surgical treatment is still the preferred method for treatment of thyroid papillary carcinoma.In the traditional way of surgical treatment,the treatment of thyroid papillary carcinoma of thyroid gland excision scope mainly has two kinds,namely the thyroid gland lobe and isthmic portion excision,and complete or nearly complete resection of the thyroid gland.As the clinical practice and summarizes the improving continuously,the choice of operation method is more refined,specification.As minimally invasive endoscopy technology has been widely promotion,new surgical treatment will also be cavity mirror technology applied to the treatment of thyroid disease areas.Now is more widely used endoscopic thyroidectomy of auxiliary Miccoli operation and endoscopic thyroidectomy completely.Both advantages and disadvantages of each operation in the scope of application and technical details are still in the further.Radioactive iodine treatment,TSH suppression postoperative treatment is also used widely,such as effectiveness has been further confirmed.This article will discuss diagnosis and surgical treatment of thyroid papillary carcinoma research progress were summarized.