宿迁地区甲状腺癌临床与病理特征分析  

Clinical and Pathological Analysis of Thyroid Carcinoma in Suqian Region

作　　者：朱红[1] 曹长春[1] 吴利[1] 周文 侍小红 江小玲[2] 孟凡庆 吴骥[3] 

机构地区：[1]南京鼓楼医院集团宿迁市人民医院内分泌科,江苏省宿迁市223800 [2]南京鼓楼医院集团宿迁市人民医院病理科,江苏省宿迁市223800 [3]南京鼓楼医院集团宿迁市人民医院甲乳外科,江苏省宿迁市223800

出　　处：《医学理论与实践》2017年第24期3615-3617,共3页The Journal of Medical Theory and Practice

摘　　要：目的:探讨分析宿迁地区甲状腺癌的临床病理特点。方法:回顾性分析2014年1月-2016年12月我院手术并经病理活检确诊为甲状腺癌、临床资料齐全的患者587例。从性别、年龄、病理类型、肿瘤大小、淋巴结转移等方面分析甲状腺癌的临床特点。结果:(1)587例甲状腺癌患者中,男116例,占19.76%,女471例,占80.24%,男女比例为1∶4.06;男女的差异有统计学意义。男性平均年龄为(46.94±14.09)岁,女性平均年龄为(46.69±11.18)岁,男女间年龄的差异无统计学意义。(2)甲状腺癌病理类型构成从高到低分别为:乳头状癌、滤泡状癌、髓样癌和未分化癌;其中乳头状癌占96.9%,按性别分类男性乳头状癌占95.6%,女性乳头状癌占97.2%;(3)甲状腺癌伴颈部淋巴结转移有157例,占26.7%;男性淋巴结转移率为33.6%(39/116);女性淋巴结转移率为25.1%(118/471),男女淋巴结转移率的差异无统计学意义;甲状腺微小癌的淋巴结转移率为34.5%,显著高于甲状腺非微小癌。结论:宿迁地区女性甲状腺癌的患病人数显著多于男性,以早期无淋巴结转移者多见。36~55岁女性高发。其中乳头状癌占绝大部分。男性和女性患者甲状腺癌的淋巴结转移率的差异无统计学意义;甲状腺微小癌的淋巴结转移率明显高于甲状腺癌非微小癌。Objective：To investigate the clinicopathologic characteristics of thyroid carcinoma in suqian region.Methods：Analysis of 587 patients with completing clinical data in our hospital from January 2014 to December 2016 retrospectively,which parallel pathological diagnosed with thyroid cancer.Analysis the clinical features of thyroid carcinoma from gender,age,pathological type,tumor size,lymph node metastasis,etc.Results：（1）Among the 587 cases of thyroid cancer,116 were male account for 19.76%,471 were females account for 80.24%.The male to female ratio of the patients is 1∶4.06.There are significant differences between men and women.The average age for male was（46.94±14.09）but（46.69±11.18）for women,There are no difference between men and women.（2）Thyroid cancer pathological type composition from high to low are：papillary carcinoma,follicular carcinoma,medullary carcinoma and undifferentiated carcinoma;the papillary carcinomas accounted for 96.9% of the population,95.6% of male papillary carcinomas by gender,97.2% of female papillary carcinomas.（3）There were 157 cases of thyroid cancer with cervical lymph node metastasis,accounting for 26.7%.Male lymph node metastasis was 33.6%（39/116）;Female lymph node metastasis was 25.1%（118/471）,and there was no significant difference between men and women.Lymph node metastasis was 34.5%,significantly higher than that of non-minuscule thyroid carcinoma.Conclusion：The number of women with thyroid cancer in suqian region is significantly larger than that of men,with early no lymph node metastasis,especially in women ages 36 to 55.Papillary carcinoma is the majority.There was no difference in lymph node metastasis of thyroid carcinoma in male and female patients.Lymph node metastasis of thyroid microcarcinoma is significantly higher than that of non-microscopic thyroid carcinoma.

关 键 词：甲状腺癌 临床与病理特点 宿迁地区 

分 类 号：R736.1[医药卫生—肿瘤]