中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2013年
14期
32-33
,共2页
申林林%耿祖仕%刘洋%卢秀波
申林林%耿祖仕%劉洋%盧秀波
신림림%경조사%류양%로수파
桥本氏甲状腺炎%甲状腺乳头状癌%临床特征
橋本氏甲狀腺炎%甲狀腺乳頭狀癌%臨床特徵
교본씨갑상선염%갑상선유두상암%림상특정
Hashimoto's disease%Thyroid papillary carcinoma%Clinical characteristic
目的 探讨桥本氏甲状腺炎合并甲状腺乳头状癌时的临床特点.方法 回顾性分析郑州大学第一附属医院甲状腺外科2008至2009间收治的桥本氏甲状腺炎合并甲状腺乳头状癌病例59例及单纯甲状腺乳头状癌病例179例.结果 桥本氏甲状腺炎合并甲状腺乳头状癌时微小癌比例增高(35.6％对比19.0％,P=0.009),中央区淋巴结转移率降低(72.9％对比55.9％,P=0.021),颈侧区淋巴转移率未降低(6.8％对比2.2％,P=0.107).结论 桥本氏甲状腺炎合并甲状腺乳头状癌的预后可能好于单纯甲状腺乳头状癌.桥本氏甲状腺炎合并甲状腺乳头状癌时,因中央区淋巴结转移率降低,预防性中央区淋巴结清扫收益将会减少.桥本氏甲状腺炎合并甲状腺乳头状癌患者颈侧区淋巴结转移风险未降低.
目的 探討橋本氏甲狀腺炎閤併甲狀腺乳頭狀癌時的臨床特點.方法 迴顧性分析鄭州大學第一附屬醫院甲狀腺外科2008至2009間收治的橋本氏甲狀腺炎閤併甲狀腺乳頭狀癌病例59例及單純甲狀腺乳頭狀癌病例179例.結果 橋本氏甲狀腺炎閤併甲狀腺乳頭狀癌時微小癌比例增高(35.6％對比19.0％,P=0.009),中央區淋巴結轉移率降低(72.9％對比55.9％,P=0.021),頸側區淋巴轉移率未降低(6.8％對比2.2％,P=0.107).結論 橋本氏甲狀腺炎閤併甲狀腺乳頭狀癌的預後可能好于單純甲狀腺乳頭狀癌.橋本氏甲狀腺炎閤併甲狀腺乳頭狀癌時,因中央區淋巴結轉移率降低,預防性中央區淋巴結清掃收益將會減少.橋本氏甲狀腺炎閤併甲狀腺乳頭狀癌患者頸側區淋巴結轉移風險未降低.
목적 탐토교본씨갑상선염합병갑상선유두상암시적림상특점.방법 회고성분석정주대학제일부속의원갑상선외과2008지2009간수치적교본씨갑상선염합병갑상선유두상암병례59례급단순갑상선유두상암병례179례.결과 교본씨갑상선염합병갑상선유두상암시미소암비례증고(35.6％대비19.0％,P=0.009),중앙구림파결전이솔강저(72.9％대비55.9％,P=0.021),경측구림파전이솔미강저(6.8％대비2.2％,P=0.107).결론 교본씨갑상선염합병갑상선유두상암적예후가능호우단순갑상선유두상암.교본씨갑상선염합병갑상선유두상암시,인중앙구림파결전이솔강저,예방성중앙구림파결청소수익장회감소.교본씨갑상선염합병갑상선유두상암환자경측구림파결전이풍험미강저.
Objective To investigate the clinical characteristics and treatment of patients with Hashimoto's disease combined with papillary thyroid carcinoma (PTC).Methods A restrospective analysis of 59 cases of PTC combined with Hashimoto' s disease and 179 cases of PTC without Hashimoto's disease were made.Results There were higher rate of microcarcinoma (35.6％ vs 19.0％,P =0.009),lower metastasis rate of central area(72.9％ vs 55.9％,P =0.021) and equal risk of lateral neck metastasis(6.8％ vs 2.2％,P =0.107) in patients with PTC combined with Hashimoto' s disease.Conclusions PTC combined with Hashimoto' s disease may have better prognosis than PTC without Hashimoto' s disease.The benefit of prophylactic central area dissection was compromised in PTC combined with Hashimoto' s disease because of lower metastasis proportion in central compartment.There was equal risk of lateral lymph metastasis in PTC combined with Hashimoto's disease and PTC without Hashimoto's disease.
