| 结节性甲状腺肿合并甲状腺癌38例诊治分析 |
| |
| 引用本文： | 王洁兵,王晓瑾,朱耀明,黄韬.结节性甲状腺肿合并甲状腺癌38例诊治分析[J].临床外科杂志,2008,16(9):596-597. |
| |
| 作者姓名： | 王洁兵 王晓瑾 朱耀明 黄韬 |
| |
| 作者单位： | 三峡大学第一临床医学院普外科,宜昌市中心人民医院普外科,宜昌,443003;华中科技大学同济医学院附属协和医院乳甲中心 |
| |
| 摘 要： | 目的 探讨结节性甲状腺肿合并甲状腺癌的诊治方法.方法 回顾性分析我院2000年1月至2006年12月手术治疗的635例结节性甲状腺肿病例中38例并存甲状腺癌患者的临床资料.结果 同期手术治疗结节性甲状腺肿患者635例,合并甲状腺癌38例(5.98%),病理检查结果:微小癌变17例,双叶癌7例,乳头状癌23例,滤泡状癌7例,髓样癌4例,未分化癌3例,甲状腺肉瘤样伴鳞癌分化1例,所有患者均行术中快速冷冻病理检查,并根据病理检查结果采取不同的手术方式.结论 结节性甲状腺肿术前检查怀疑甲状腺癌者应行细针穿刺及术中快速冰冻切片病理检查有利于确诊,可有效避免再次手术;甲状腺全切 131I放射治疗残余灶和/或转移灶 足量L-型甲状腺素钠抑制治疗有利于降低复发和死亡.
|
| 关 键 词： | 甲状腺癌 结节性甲状腺肿 诊断 治疗 |
Diagnosis and treatment of nodular goiter with thyroid cancer |
| |
| WANG Jie-bing,WANG Xiao-jin,ZHU Yao-ming,et al..Diagnosis and treatment of nodular goiter with thyroid cancer[J].Journal of Clinical Surgery,2008,16(9):596-597. |
| |
| Authors: | WANG Jie-bing WANG Xiao-jin ZHU Yao-ming |
| |
| Institution: | WANG Jie-bing,WANG Xiao-jin,ZHU Yao-ming,et al.(Department of General Surgery,The First College of Clinical Medical Science,China Three Gorges University,Yichang Central People\'s Hospital,Yichang 443003,China) |
| |
| Abstract: | Objective To study the approach to improve the diagnosis and treatment of nodular goiter with thyroid cancer.Methods Retrospective study was made on patients operated upon for nodular goiter with coexisting differentiated thyroid carcinoma from January 2000 to December 2006.Results A total of 635 patients with nodular goiter were surgically treated,and of them 38 cases (5.98%) were confirmed histopathologically to have concurrent differentiated thyroid cancer.There were 17 cases of minimal cancer,7 cases of... |
| |
| Keywords: | thyroidcancer noduiar goiter diagnosis treatment |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
