CAJ | 학술논문

目的：分析结节性甲状腺肿合并甲状腺癌的临床特点，探讨临床有效的诊疗方法。方法回顾性分析21例结节性甲状腺肿合并甲状腺癌患者的临床资料。结果全组病例术后标本镜下均见到结节性甲状腺肿的病理改变，其中合并微小癌9例，乳头状癌11例，滤泡状癌1例。4例患者发生颈淋巴结转移，其中2例为颈侧淋巴结，2例为中央区淋巴结。术后随访10个月至10年，所有患者均生存。结论早期确诊结节性甲状腺肿合并甲状腺癌能够为制定手术方案提供科学依据，有利于明确手术范围，保证手术的安全有效性，提高患者的生存率。
목적：분석결절성갑상선종합병갑상선암적림상특점，탐토림상유효적진료방법。방법회고성분석21례결절성갑상선종합병갑상선암환자적림상자료。결과전조병례술후표본경하균견도결절성갑상선종적병리개변，기중합병미소암9례，유두상암11례，려포상암1례。4례환자발생경림파결전이，기중2례위경측림파결，2례위중앙구림파결。술후수방10개월지10년，소유환자균생존。결론조기학진결절성갑상선종합병갑상선암능구위제정수술방안제공과학의거，유리우명학수술범위，보증수술적안전유효성，제고환자적생존솔。
Objective To analyze the clinical manifestation of thyroid carcinoma in patient with nodular goiter,and explore the effective diagnosis and treatment method.Methods Retrospective analysis was made on patients operated upon for nodular goiter with coexisting diffetentiated thyroid carcinoma.Results Tiny papillary car-cinoma 9 cases,papillary carcinoma 1 1 cases,and follicular carcinoma 1 case.Four Chad cervical lymph node involve-ment,2 cases in the cervical compartment and 2 cases in the central area.We followed up for 10 months to 10 years, all of the patients were survival.Conclusion Early diagnosis can provide scientific basis for surgical treatment.Oper-ation should master the indication and scope,to ensure the satety,impove survival rate.