甲状腺腺瘤伴随病变分析  

The analysis of paratumorous lesion of thyroid adenoma.

作　　者：刘勤江[1,2] 罗兴义[1,2] 魏温涛 周惠珍[1,2] 

机构地区：[1]甘肃省肿瘤医院头颈外科 [2]甘肃省医学科学研究院病理诊断中心

出　　处：《中国实用外科杂志》1999年第8期490-491,共2页Chinese Journal of Practical Surgery

摘　　要：目的探讨甲状腺腺瘤伴随病变的临床病理特征。方法收集甲状腺腺叶部分切除及腺叶切除治疗甲状腺腺瘤１８４例，观察肿瘤伴随病变（瘤旁病变）。结果发现结节性甲状腺肿１４例（７６％），淋巴细胞性甲状腺炎５２例（２８３％），腺体萎缩纤维化５０例（２７２％）。结论甲状腺腺瘤病人病史≤２年、瘤体直径≤２ｃｍ，其瘤旁病变主要是淋巴细胞性甲状腺炎。随病史延长，瘤体增大，瘤旁病变以结节性甲状腺肿为主。病史≥５年，瘤体直径≥５ｃｍ者，瘤旁病变以甲状腺腺体萎缩纤维化为主。同时，甲状腺腺瘤伴随病变是术后肿瘤复发及发生甲状腺功能低下的潜在因素。Objective To study the pathology observation and clinical material in the paratumorous lesion of thyroid adenoma.Methods This paper report 184 cases of thyroid adenoma treated with lobectomy and partial lobectomy of thyroid.Observing the lesions around the adenoma(paratumorous lesion).Results We have found 14 cases(7 6%)of nodular goiter,52 cases(28 3%)of atrophic adenofibrosis.Conclusion The main paratumorous lesions are focallymphocytic thyroiditis when the course of disease within 2 years(≤2 years)and the small size tumor(≤2cm).As the clinical developing,the main paratumorous lesion change to nodulargoiter.When the course of disease more than five years and the tumor size larger than 5cm,the main paratumorous lesions are atrophic adenofibrosis.We regard as the paratumorous lesions are latent factors of tumorous recurrence and hypothyroidism after operation.

关 键 词：甲状腺腺瘤 瘤旁病变 临床病理 

分 类 号：R736.102[医药卫生—肿瘤]