异位甲状腺13例临床诊治分析  

Analysis on diagnosis and treatment of 13 cases with ectopic thyroid gland disease

作　　者：陈超[1] 尹乐平[1] 冯超[1] 顾毅[1] 

机构地区：[1]四川省医学科学院.四川省人民医院甲状腺血管外科,四川成都610072

出　　处：《实用医院临床杂志》2016年第3期45-48,共4页Practical Journal of Clinical Medicine

摘　　要：目的探讨异位甲状腺的诊治方法,提高对该疾病的认识,减少误诊、误治。方法回顾性分析2000~2015年我院13例异位甲状腺患者的临床和病理资料。结果 13例患者中4例为术前明确诊断,9例为术后经病理学检查明确诊断;病变恶性1例,良性12例。3例未治疗,10例经手术切除,术后随访1~11年,均正常生活,1例良性患者术后2年复发;1例恶性患者无肿瘤复发和转移。结论异位甲状腺少见,其发生部位及临床表现缺少特异性。对于舌根至纵隔内的包块,尤其是颈部包块,应排除异位甲状腺的可能。彩超、甲状腺核素扫描、甲状腺功能检查、CT及针吸活检是重要的检查手段。应根据异位甲状腺类型、大小、位置、有无症状及甲状腺功能状况等决定是否治疗及治疗方式。Objective To explore the clinical diagnosis and treatment of ectopic thyroid gland（ ETG） in order to improve the understanding of the disease,reduce the misdiagnosis and mistreatment.Methods The clinical and pathological data of 13 patients who were definitely diagnosed as ETG from 2000 to 2015 in our hospital were retrospectively analyzed.Results In those 13 patients,4 cases were diagnosed before operation and 9 cases were diagnosed by pathology after operation.One case was malignancy and 12 were benign.Ten cases were treated with surgery and 3 cases were not treated.After operation,10 patients followed-up for 1-11 years had orthobiosis.One patient with benign had recurrence 2 years later and two patients with malignant lesions had no recurrence and metastasis.Conclusion ETG is rare and usually reveals no any special clinical features.For any masses from root of tongue to mediastinum especially cervical masses,it should exclude ETG.The color Doppler ultrasound,thyroid radioactive scanning,thyroid function tests,computed tomography and fine needle aspiration cytology are all important examination measures.As ETG is definitely diagnosed,the treatment should be based on patient＇s age,and position,size and type of the lesions.

关 键 词：异位甲状腺 诊断 治疗 

分 类 号：R653[医药卫生—外科学]