多发性甲状腺结节伴甲状腺癌23例的临床分析  

Thyroid cancer concurrent with multiple thyroid nodules: an analysis of 23 cases

作　　者：杨齐[1] 张士淮[1] 

机构地区：[1]首都医科大学附属复兴医院普外科,北京100038

出　　处：《中华普通外科杂志》2002年第5期293-294,共2页Chinese Journal of General Surgery

摘　　要：目的探讨多发性甲状腺结节中甲状腺癌的诊断。方法回顾分析 1988年 5月至2 0 0 0年 12月治疗的 2 3例多发甲状腺结节伴甲状腺癌病例。结果 2 3例患者中术前确诊仅 6例 ,第2次手术患者 13例 ,良性疾病与甲状腺癌并存 2 0例。结论多发性甲状腺结节中的甲状腺癌多与良性疾病并存 ,临床诊断困难 。ObjectiveTo study the diagnosis of thyroid cancer concurrent with multiple thyroid nodules.Methods The clinical data of 23 patients of multiple thyroid nodules with thyroid cancer undergoing exploration from May 1988 to December 2000 were analyzed retrospectively.ResultsThe diagnosis of concurrent carcinoma was made preoperatively in 6 cases. 13 out of the 23 patients underwent second operation for the postoperative pathology being malignant. Thyroid cancer was identified concurrent with benign nodules in 20 cases. Conclusion Thyroid cancer when found on the background of multiple thyroid nodules is often coexistant with benign thyroid disease, hence the diagnosis is difficult to make clinically. Second operation is sometimes inevitable when the pathology identified a cancer in preoperatively diagnosed benign nodules.

关 键 词：多发性甲状腺结节 甲状腺癌 临床分析 诊断 

分 类 号：R736.1[医药卫生—肿瘤]