甲状腺机能亢进合并甲状腺癌的诊断和外科治疗  

Hyperthyroidism companied with thyroid carcinoma

作　　者：张丽丽[1] 付荣湛[1] 于学智[1] 顾禾[1] 郭源[1] 

机构地区：[1]山东省千佛山医院普外科,山东济南250014

出　　处：《中国普通外科杂志》2002年第5期273-275,共3页China Journal of General Surgery

摘　　要：目的　探讨甲状腺功能亢进 (甲亢 )合并甲状腺癌的诊断及治疗。方法　分析甲亢合并甲状腺癌病例的临床特点及其预后。结果　 11例甲亢合并甲状腺癌 ,9例于术中确诊 ,手术方式合理。 2例术后病理确诊 ,其中 1例行第 2次手术。随访 1～ 16年 ,无甲亢或肿瘤复发。结论　甲亢合并甲状腺癌术前诊断较困难 ,B超可提示肿大甲状腺内的结节 ,针吸细胞学检查假阴性率较高 ,术中冷冻病理检查对确诊甲亢合并甲状腺癌有重要价值。Objective To study the diagnosis and treatment of hyperthyroidism companied with thyroid carcinoma . Methods The clinical data of 11 cases of hyperthyroidism with thyroid carcinoma were retrospectively analysed. Results 9 of 11 cases were diagnosed preoperatively,and comfirmed by frozen section intra-operatively and underwent suitable operation. In the other two cases the final diagnosis was made by pathological examination postoperatively, and re-operation was performed on 1 case . All the patients were followed up for 1～16 years and neither hyperthyroidism nor thyroid carcinoma recurred. Conclusion It is difficult to make diagnosis of hyperthyroidism with thyroid carcinoma preoperatively. B mode ultrasonography may find some nodes in enlarged thyroid; but fine needle aspisation biopsg(FNA) has high false negative diagnostic rate. Intra-operative frozen section examination is important in the diagnosis of hyperthyroidism with thyroid carcinoma .

关 键 词：甲状腺癌 诊断 甲状腺机能亢进 甲状腺肿瘤 并发症 外科治疗 

分 类 号：R736.1[医药卫生—肿瘤] R581.1[医药卫生—临床医学]