结节性甲状腺肿合并甲状腺癌176例  

Nodular Goiter with Coexistent Thyroid Cancer,Report of 176 cases

作　　者：邱海江[1] 方孙阳[1] 吴志明[1] 陈福森[1] 夏恒[1] 陈江[1] 

机构地区：[1]中国医科大学绍兴医院普外科,绍兴312030

出　　处：《中国中西医结合外科杂志》2012年第6期561-563,共3页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

摘　　要：目的:分析结节性甲状腺肿合并甲状腺癌的发病率、发病原因及其诊断、治疗及预后。方法:回顾性分析176例结节性甲状腺肿合并甲状腺癌的临床资料,分析其临床特征,病理结果和随访等临床资料。结果:结节性甲状腺肿合并甲状腺癌术前诊断率为50.5%。病理示:乳头状癌136例,滤泡状癌8例,癌髓样4例,微小癌25例,肉瘤样变1例,病变诊断为恶性但分类困难2例。结论:结节性甲状腺肿合并甲状腺癌的发生率高,近一半能术前确诊,手术治疗效果好。Objective To analyze the clinical relationship between nodular goiter and coexistent thyroid can cer and the incidence rate ,diagnosis,treatment and prognosis. Methods Retrospective clinical analysis of 176 cases of nodular goiter with coexist ent thyroid cancer, was done, including clinical features ,diagnosis and prog nosis. Results Preoperative diagnosis rate was 50.5%.There were 136 cases of papillary cancer ,8 cases of co existent follicular cancer .4 cases of medullary cancer and 25 cases of minimal cancer. Conclusion The inci dence rate of nodular goiter with coexistent thyroid cancer is increasing. With the continuous improvement of the diagnostic technology, nodular thyroid with coexistent thyroid cancer preoperative clinical diagnosis rate increas- es greatly.The prognosis is good after the operation.

关 键 词：结节性甲状腺肿 甲状腺癌 发病率 诊断 外科治疗 

分 类 号：R653[医药卫生—外科学] R736.1[医药卫生—临床医学]