多数甲状腺癌(简称甲癌)病程长,早期临床表现缺乏特殊性,影像学等检查也难以确诊,误诊率较高。国内外报告术前误诊率约达5 0 %。1991年3月～2 0 0 3年5月,我院共手术治疗甲状腺疾病患者2 5 39例,其中经病理证实为甲癌76例,术前均未确诊。术前、术中可疑甲癌2 3例,其中冰冻切片 The majority of thyroid cancer (referred to as A) long course of disease, early clinical manifestations of the lack of specificity, imaging and other tests are difficult to diagnose, misdiagnosis rate is high. Domestic and foreign reports preoperative misdiagnosis rate of about 50%. From March 1991 to May 2003, 2539 cases of thyroid disease were treated surgically in our hospital. Among them, 76 cases were confirmed as pathologically confirmed thyroid cancer without any definite diagnosis. Preoperative and intraoperative suspicious cases of 23 cases of cancer, including frozen section