甲状腺乳头状癌合并结节性甲状腺肿45例诊治分析

目的 探讨甲状腺乳头状癌（PTC）合并结节性甲状腺肿（NG）的诊断方法及治疗选择。方法 回顾性分析2014年3月1日至2014年4月24日上海肿瘤医院收治的45例PTC合并NG患者的临床资料。结果 45例患者中，40例行超声检查，其中39例超声提示为PTC，诊断符合率达97.5%。45例PTC合并NG患者均行相应的根治性手术。结论 超声是评估甲状腺结节的首选方法。PTC合并NG患者的术式选择应坚持根治性原则，对侧的甲状腺如有合并的NG应全部切除，可保留正常腺体。

Diagnosis and treatment of 45 cases of papillary thyroid cancer with coexistent nodular goiter

Objective To study the diagnosis and the treatment of papillary thyroid cancer(PTC)combined with nodular goiter(NG).Methods Clinical data of 45 patients diagnosed as PTC combined with NG in 2014 were retrospectively analyzed.Results Of 45 patients, 40 were diagnosed with ultrasonography, and 39 were considered as PTC; the coincidence rate of unltrasonography and clinical diagnosis reached 97.5%. Radical operation was performed for all 45 patients.Conclusion Ultrasonography should be the preferred diagnostic procedure for thyroid nodules. Radical resection is the first treatment for PTC combined with NG, the coexistent NG in the contralateral thyroid should be clearly resected and adjacent normal thyroid tissue should be reserved.