甲状腺功能亢进症合并甲状腺癌的临床分析

目的 了解甲状腺功能亢进症（甲亢）合并甲状腺癌的状况。方法 对本院１９８３年１月～１９９８年６月,接受手术方法治疗的３９４例甲亢和经手术病理诊断的２４５例甲状腺一并进行回顾性分析。结果 共发现甲亢合并甲状腺癌１２例,占甲亢的３．０％（１２／３９４）,占甲状腺癌的４．９％（１２／２４５）,Ｇｒａｖｅｓ病合并甲状腺癌６例,毒性结节必 腺肿合并甲状腺癌６例。１２例患者中,甲状腺呈弥漫性肿大３例甲,弥漫性

A clinical study on coincidence with hyperthyroidism and thyroid carcinoma

A retrospective study has been carried out to evaluate the prevalence of coincidence with hyperthyroidism and thyroid carcinoma. Methods 394 patients underwent surgery for hyperthyroidism and 245 patients suffered from thyroid cancer were chosen for the study in our hospital from January 1983 to June 1998. Results Thyroid cancer and hyperthyroidism coincided in 12 patients.The incidence of thyroid cancer was 3.0%(12/394) in hyperthyroidism,and the incidence of hyperthyroidism was 4.9% in thyroid cancer.There were 7 female and 5 male,with a diffuse goiter(n=3),a diffuse goiter with a cold nodule (n=3),multinodular goiter (n=6).Among the 12 patients,7 patients had an occult thyroid cancer with a diameter of 1 cm or less,most of them with papillary carcinoma,less frequently had metastases,4 patients had thyroid cancer with a diameter of 3 cm or more,and 3 patients had metastases. Conclusions The prevalence of coincidence with thyroid cancer and hyperthyroidism is more than that of thyroid cancer in population.Diagnostics for exclusion of thyroid cancer is required carefully even in the presence of hyperthyroidism.