甲状腺良恶性疾病并存80例分析

目的:分析甲状腺良恶性疾病并存的发生率、病理类型、诊治方法,提高认识.方法:对80例甲状腺良恶性疾病并存的病例进行一般资料、辅助检查、病理切片、治疗方式、预后等方面回顾总结.结果:良恶性疾病并存者占同期甲状腺癌的51.3%,其中乳头状癌占96.3%,结节性甲状腺肿伴癌灶者占87.5%.结论:本病大多为结节性甲状腺肿和乳头状癌并存,对于甲状腺多发结节应想到恶性可能,可疑结节应行术中冰冻病理切片.

Diagnosis and Treatment of Coexisting Benign and Malignant Thyroid Diseases

Objective To analyze the etiology,pathologic patterns,diagnostic and treatment methods of coexistence of benign and malignant thyroid diseases. Methods Eighty cases of coexisting benign and malignant thyroid diseases were reviewed with the general history,physical examination,adjuvant exams,pathologic studies,therapies and prognosis. Results The incidence of coexisting thyroid benign and malignant diseases was 51.3% of that of thyroid cancer at the same period.Of them,96.3% were papillary cancer,87.5% of them were nodular goiter with cancerous foci. Conclusion Most of the coexisting benign and malignant thyroid diseases were nodular goiter with papillary cancer.For multiple nodulopathies of the thyroid,malignancy should be suggested hence intraoperative frozen section of the suspicious nodes should be instituted.