| 桥本病与甲状腺癌并存的临床分析 |
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| 引用本文： | 黄新余,郑起,冯昌宁,秦环龙. 桥本病与甲状腺癌并存的临床分析[J]. 肿瘤, 2004, 24(6): 592-594 |
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| 作者姓名： | 黄新余 郑起 冯昌宁 秦环龙 |
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| 作者单位： | 上海交通大学附属第六人民医院,上海,200233 |
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| 摘 要： | 目的探讨桥本病与甲状腺癌并存的临床病理特点及外科治疗经验.方法对1986年1月～2003年12月44例桥本病与甲状腺癌并存患者临床病理特征进行分析.结果桥本病与甲状腺癌并存发生率为16.9%,其中1995年以前桥本病与甲状腺癌并存患者6例,占同期手术治疗的桥本病57例的10.5%,1995年以后为38例,占同期桥本病204例的18.6%(P＜0.01).全组乳头状癌31例(70.5%),滤泡状癌9例(20.5%),混合性癌3例,粘膜相关淋巴瘤1例.隐灶癌14例,占32%.术前B超9例提示有钙化(20.5%),15例行同位素扫描7例(46.7%)为冷结节,19例行血TGA、MCA测定10例(52.6%)升高.全组中双侧甲状腺癌5例(11.4%),有5例(11.4%)出现一侧或双侧颈淋巴结转移.手术方式主要为一侧或双侧甲状腺全切除或次全切除.结论桥本病与甲状腺癌并存发生率较高,其发病率近年来有明显增高趋势.临床治疗桥本病时应警惕并存甲状腺癌特别是隐灶癌的可能性.术中应警惕双侧甲状腺癌及淋巴结转移.
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| 关 键 词： | 桥本病 甲状腺肿瘤 外科学 诊断 |
| 文章编号： | 1000-7431(2004)06-0592-03 |
| 修稿时间： | 2004-08-05 |
Clinical analysis of Hashimoto''''s disease coexistent with thyroid carcinoma |
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| HUANG Xinyu,ZHENG Qi ,FENG Changning,QIN Huanlong. Clinical analysis of Hashimoto''''s disease coexistent with thyroid carcinoma[J]. Tumor, 2004, 24(6): 592-594 |
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| Authors: | HUANG Xinyu ZHENG Qi FENG Changning QIN Huanlong |
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| Affiliation: | HUANG Xinyu,ZHENG Qi *,FENG Changning,QIN Huanlong |
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| Abstract: | Objective To investigate the clinicopathlogical features and surgical experiences in patients with Hashimoto's disease coexistent with thyroid carcinoma. Method: The clinicopatholical features in 44 cases of Hashimoto's disease coexistent with thyroid carcinoma from Jun.1986 to Dec.2003 were analysed. Results The total coexistent rate of the two diseases was 16.9% among those patients, the coexistent rate of the two diseases was 10.5% before 1995, and it raised up to 18.6% after that year ( P
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| Keywords: | Hashimoto's disease Thyroid neoplasms Surgery Diagnosis |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
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