甲状腺结节与甲状腺癌的临床评估和处理  

Clinical evaluation and management of thyroid nodule and carcinoma

作　　者：黎丹凤[1] 张进安[1] 

机构地区：[1]复旦大学附属金山医院内分泌科,上海201508

出　　处：《上海医药》2016年第20期3-7,共5页Shanghai Medical & Pharmaceutical Journal

基　　金：国家自然科学基金资助(81270871;81471004)

摘　　要：成人甲状腺结节的发病率相当高,其中大多数为良性病变,无需特殊处理,而恶性病变占5%~15%,需要及时处理。鉴于良恶性甲状腺结节对患者生存质量的影响有显著差异,且临床处理方法不同,所以鉴别结节的良、恶性非常重要。一般可通过病史、体格检查、影像学、核素扫描、细针穿刺、实验室检查等几方面评估甲状腺结节性质。对于分化型甲状腺癌需采取手术、同位素、甲状腺激素抑制治疗等综合手段,预后良好。Incidence of thyroid nodule is quite high in adults. Most of thyroid lesions are benign and need no special treatment. The malignant lesions are accounted for 5%-15% and active treatment is warranted. Because the impact on the quality of life is significant difference between benign and malignant thyroid nodules as well as different clinical management, the differentiation of benign from malignant nodules is very important. The evaluation of thyroid nodules can be conducted by medical history, physical examination, imaging and nuclide scan, fine needle puncture, laboratory examination,etc. The combined therapy including surgery, isotope and thyroid hormone suppression can be adopted in the treatment of patients with differentiated thyroid cancer, which results in good prognosis.

关 键 词：甲状腺结节 分化型甲状腺癌 超声 治疗 

分 类 号：R736.1[医药卫生—肿瘤] R581.3[医药卫生—临床医学]