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目的探讨甲状腺癌的临床误诊原因。方法对我院外科近６ａ来收治的１２０例甲状腺癌进行回顾性分析。结果与结论１２０例甲状腺癌中临床误诊４８例，误诊率达４０％。造成临床误诊较多的主要原因是：①临床医生对分化型甲状腺癌的病理特点、生物学行为认识不足；②在甲状腺肿块的鉴别诊断中未能正确使用辅助检查；③手术者缺乏临床经验或仅满足于术前良性肿瘤的诊断，对术中探查有疑问的病例，未能及时进行术中快速冰冻切片检查。
Objective To explore the causes of clinical misdiagnosis of thyroid cancer. Methods A retrospective analysis of 120 cases of thyroid cancer treated in our hospital during the past 6 years. Results and Conclusions There were 48 cases of misdiagnosis in 120 cases of thyroid cancer. The misdiagnosis rate was 40%. The main causes of clinical misdiagnosis are: 1 The lack of understanding of the pathological features and biological behaviors of differentiated thyroid cancer by clinicians; 2 The failure to properly use auxiliary examination in the differential diagnosis of thyroid masses; 3 The lack of clinical experience or experience Only satisfied with the diagnosis of preoperative benign tumors, the case of doubtful intraoperative exploration failed to promptly perform intraoperative rapid frozen section examination.