甲状腺功能亢进症合并甲状腺癌13例报告

目的 总结原发性甲状腺功能亢进合并甲状腺癌患者的诊治经验。方法 回顾性总结原发性甲状腺功能亢进合并甲状腺癌13例患者的临床资料，并结合文献对相关性问题进行了分析。结果 13例原发性甲状腺功能亢进合并甲状腺癌患者术前均漏诊，术中快速冰冻切片确诊2例，11例术后经病理检查确诊；2例微小癌未作处理，11例行手术切除。结论 原发性甲状腺功能亢进合并结节时，临床上应高度怀疑有合并甲状腺癌之可能。本病确诊有赖于病理学检查，手术是原发性甲状腺功能亢进合并甲状腺癌的首选治疗方法。

The report of 13 cases of primary hyperthyroidism complied with thyroid caner

Objective To advance the diagnosis and cure rate of primary hyperthyroidism complicated with thyroid cancer. Methods Clinic data of 817 cases of primary hyperthyroidism, among which 13 cases complicated with thyroid cancer were evaluated retrospectively, and relative questions were analyzed with literature. Results All of 13 cases of hyperthyroidism complicated with thyroid cancer were cured. The diagnosis were identified by pathology. Conclusion When primary hyperthyroidism complied with nodule, thyroid cancer should highly be considered in clinic. Identified diagnosis is relied on pathology, and operation is the first treatment for primary hyperthyroidism complicated with thyroid cancer.