结节性甲状腺肿合并甲状腺微小乳头状癌的临床病理分析  

Clinical pathology analysis of nodular goiter complicated with papillary thyroid microcarcinoma

作　　者：豆颖[1] 闫哲[2] 

机构地区：[1]河南省商丘市第一人民医院病理科,476000 [2]河南省商丘市第一人民医院心内科,476000

出　　处：《中国现代药物应用》2015年第4期5-6,共2页Chinese Journal of Modern Drug Application

摘　　要：目的：分析结节性甲状腺肿合并甲状腺微小乳头状癌（PTMC）的临床病理特点。方法回顾性分析25例结节性甲状腺肿合并甲状腺微小乳头状癌患者的临床病理资料。结果25例结节性甲状腺肿合并甲状腺微小乳头状癌患者,14例双侧结节性甲状腺肿伴一侧PTMC,6例左侧结节性甲状腺肿伴左侧PTMC,5例右侧结节性甲状腺肿伴右侧PTMC。PTMC结节为质地较硬的细颗粒状,灰白和灰黄色,边界模糊,浸润至甲状腺实质内部,部分呈纤维化,部分则似纤维瘢痕样。肿块直径范围0.2～0.9 cm,小部分多发,大部分单发。结论结节性甲状腺肿合并甲状腺微小乳头状癌术前诊断困难,通过明确结节性甲状腺肿合并甲状腺微小乳头状癌的临床病理特点,可提高疾病诊断确诊率,及早治疗。Objective To analyze the clinical pathology characteristics of nodular goiter complicated with papillary thyroid microcarcinoma （PTMC）.Methods A retrospective analysis was made on the clinical pathology data of 25 patients of nodular goiter complicated with papillary thyroid microcarcinoma.Results Among the 25 cases of nodular goiter complicated with papillary thyroid microcarcinoma, there were 14 cases of bilateral nodular goiter complicated with unilateral PTMC, 6 cases of left nodular goiter complicated with left PTMC, 5 cases of right nodular goiter complicated with right PTMC. PTMC nodes were gray and yellowish gray hard fine particles with fuzzy boundaries. The nodes infiltrated into thyroid parenchyma. Some of them were fibrosis, and others were fibrous scar. Lump diameter range was 0.2～0.9 cm. A small part of them was multiple, and most of them were single.Conclusion The preoperative diagnosis for nodular goiter complicated with papillary thyroid microcarcinoma is difficult. Improvement of diagnosis rate and timely treatment can be provided by definition of the clinical pathological features of nodular goiter complicated with papillary thyroid microcarcinoma.

关 键 词：结节性甲状腺肿 甲状腺微小乳头状癌 临床病理 

分 类 号：R736.1[医药卫生—肿瘤]