甲状腺嗜酸细胞肿瘤的临床分析  

Clinical Analysis of Hurthle Cell Tumor

作　　者：刘明言[1] 张殿龙[1] 吴晓飞[1] 

机构地区：[1]辽宁省大连大学附属中山医院甲状腺乳腺外科,辽宁大连116001

出　　处：《中国医药指南》2015年第4期19-20,共2页Guide of China Medicine

摘　　要：目的探讨甲状腺嗜酸细胞肿瘤的临床、组织病理学特征、治疗方法和预后。方法分析大连大学附属中山医院2007年8月至2009年8月治疗的10例甲状腺嗜酸细胞肿瘤患者,通过回顾性分析法对甲状腺嗜酸细胞肿瘤患者的病理、影像以及临床诊治进行分析。结果甲状腺嗜酸细胞肿瘤的影像特征与临床表现不具备典型特征,但是具备极其特殊的病理学结构。10例患者经病理证实,9例为良性嗜酸细胞腺瘤,1例为嗜酸细胞腺癌。在接受相应手术治疗后,随访10例患者术后均恢复良好。结论甲状腺嗜酸细胞肿瘤不仅具备其独特的生物学与病理学特征,而且具有潜在恶性可能,颗粒较大,肿瘤细胞呈现多种形态,排列松散,我们需要对肿瘤包膜、血管浸润以及远处转移等进行综合分析,以确诊甲状腺嗜酸细胞肿瘤的良恶性。Objective To investigate clinical and histopathological features, treatment and prognosis on Hurthle cell tumor. Mothods Through the retrospective analysis, analyzing the cases of Hurthle cell tumor on pathology, imaging and clinical diagnosis and treatment. Results Hurthle cell thyroid tumor imaging features and clinical manifestations is not provided with the typical characteristics, but have a very special structure of pathology. Patients of Hurthle cell tumor recovered well after the operation. Conclusion Hurthle cell thyroid tumor not only has its unique biological and pathological characteristics, but also has potential malignant tumor characteristics, we need a comprehensive analysis of the tumor capsule, vascular invasion and metastasis, in order to diagnose Hurthle cell tumor.

关 键 词：甲状腺嗜酸细胞肿瘤 病理 影像 临床疗效 

分 类 号：R736.1[医药卫生—肿瘤]