中国实用外科杂志

中国实用外科杂志 ›› 2011, Vol. 31 ›› Issue (06): 525-526.

• 论著 • 上一篇    下一篇

甲状腺炎合并甲状腺癌210例诊治分析

张    广，边学海，李世杰，张纯海，付言涛，刘晓莉，孙    辉   

  1. 吉林大学中日联谊医院甲状腺外科，吉林长春130033
  • 出版日期:2011-06-01 发布日期:2011-05-24

  • Online:2011-06-01 Published:2011-05-24

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摘要：

目的    探讨甲状腺炎合并甲状腺癌的临床特点，以利早期诊治。 方法    收集2008年6月至2009年12月吉林大学中日联谊医院甲状腺外科手术治疗甲状腺炎合并甲状腺癌的临床资料，对其进行分析总结。结果    甲状腺炎合并甲状腺癌共210例，占同期甲状腺癌手术病人的26.0%（210/807），占同期确诊甲状腺炎病人的41.0%（210/512）。术前超声显示边界欠清的限局性低回声区、弥漫性低回声、强回声区和合并钙化者，所占比例分别为89.1%（187/210）、7.6%(16/210)、3.3%（7/210）、46.7%（98/210）；210例均行甲状腺癌根治术，其中164例同时行颈部淋巴结清扫术，淋巴结转移率为50.6%（83/164）。结论    甲状腺炎合并甲状腺癌的比例较高，对超声显示伴边界欠清、限局性低回声区并有颈部淋巴结肿大的病人，应密切观察病情变化，积极行穿刺组织学检查或手术治疗。

关键词: 甲状腺炎, 甲状腺癌

Abstract:

Diagnosis and treatment of thyroiditis coexisted with thyroid carcinoma：an analysis of 210 cases        ZHANG Guang，BIAN Xue-hai，LI Shi-jie，et al.Department of Thyroid Surgery， China-Japan Union Hospital， Jilin University， Changchun 130033，China
Corresponding  author ：SUN Hui，E-mail：sunhui1229@163.com
Abstract    Objective    To investigate the clinical characteristics of thyroiditis coexisted with thyroid carcinoma for the early diagnosis and treatment. Methods    The clinical data of patients with thyroiditis coexisted with thyroid carcinoma performed surgery between June 2008 and December 2009 at China-Japan Union Hospital of Jilin University were analyzed. Results    There were 210 patients with thyroiditis coexisted with papillary thyroid carcinoma (PTC) whom accounted for 26.0% (210/807) of thyroid carcinoma performed surgery and 41.0%(210/512) of thyroiditis during the same period. The rate of focal hypoechoic echo with irregular shape and illdefined edge of the border，diffuse hypoechoic echo，focal high-level echo and calcification which showed in preoperative sonogram was 89.1%（187/210），7.6%(16/210)，3.3%(7/210)，46.7%（98/210）respectively. Among them, 164 patients were performed lymph node dissection，and 83 (50.6%) patients of them had lymph node metastasis. Conclusion    The rate of thyroiditis coexistent with thyroid carcinoma is higher. The patients with irregular shape，illdefined edge of the border and focal hypoechoic echo in preoperative sonogram should be taken carefully and reviewed systematically，should be performed fine needle aspiration biopsy or operation actively.

Key words:  , thyroiditis ；thyroid carcinoma