CAJ | 학술논문

目的探讨桥本甲状腺炎合并甲状腺癌的诊治特点.方法回顾性分析98例桥本甲状腺炎合并甲状腺癌的临床资料.结果行甲状腺一侧腺叶切除+峡部切除2例;行甲状腺双叶切除58例;行中央区淋巴结清扫35例,淋巴结阳性15例;行颈部淋巴结改良根治术3例,淋巴结阳性3例.原发灶直径≤1.0 cm和＞1 cm,中央区淋巴结转移率分别为25.0%和52.2%,差异无统计学意义.结论桥本甲状腺炎常合并甲状腺乳头状癌,即使为微小癌,也常伴有颈部淋巴结转移.随着肿瘤直径的增大,淋巴结转移亦相应增多.桥本甲状腺炎合并甲状腺癌手术中,应行甲状腺双叶切除,必要时加行中央区及颈侧区淋巴结的清扫.
목적 탐토교본갑상선염합병갑상선암적진치특점.방법 회고성분석98례교본갑상선염합병갑상선암적림상자료.결과 행갑상선일측선협절제+협부절제2례;행갑상선쌍협절제58례;행중앙구림파결청소35례,림파결양성15례;행경부림파결개량근치술3례,림파결양성3례.원발조직경≤1.0 cm화＞1 cm,중앙구림파결전이솔분별위25.0%화52.2%,차이무통계학의의.결론 교본갑상선염상합병갑상선유두상암,즉사위미소암,야상반유경부림파결전이.수착종류직경적증대,림파결전이역상응증다.교본갑상선염합병갑상선암수술중,응행갑상선쌍협절제,필요시가행중앙구급경측구림파결적청소.
Objective To discuss the clinical characteristics of Hashimoto's thyroiditis accompanying with thyroid cancer. Methods Clinical data of 98 cases Hashimoto's thyroiditis accompanying with thyroid cancer were retrospectively reviewed. Results 2 cases underwent lateral thyroid lobectomy and isthmus resection. 58 cases underwent bilateral thyroid lobectomy. 35 cases underwent central lymph node dissection, with 15 cases of lymph node positive. 3 cases underwent modified radical dissection of cervical lymph nodes and all of them were proved to be lymph node positive. Metastasis rate is 25.0% and 52. 2% respectively for tumors whose diameter was less than 1 cm and greater than 1 cm. The difference has no statistic significance. Conclusions Hashimoto's thyroiditis usually accompany with thyroid papillary carcinoma and cervical lymph node metastasis can occur even if it's microcarcinoma. Lymph node metastasis rate increases with increasement of the tumor's diameter. Total thyroidectomy should be performed for Hashimoto's thyroiditis concomitant with thyroid cancer. And if necessary,lymph node dissection should be extended to the central region and lateral neck area.