中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
5期
49-50
,共2页
结节性甲状腺肿%甲状腺癌%诊断与治疗
結節性甲狀腺腫%甲狀腺癌%診斷與治療
결절성갑상선종%갑상선암%진단여치료
Nodular goiter%Thyroid cancer%Diagnosis and treatment
目的：总结结节性甲状腺肿合并甲状腺癌的诊断及治疗经验。方法：2007年7月-2013年12月收治结节性甲状腺肿合并甲状腺癌患者73例，回顾分析患者的临床资料。结果：术前超声检查怀疑恶性病变21例(28.8%)，细针穿刺细胞学检查诊断甲状腺癌42例(64.6%)，术中冰冻切片检查31例，诊断准确率90.3%(28/31)，但仍有3例漏诊，漏诊病例均为微小癌，术后常规石蜡切片病理检查才发现。结论：临床医生要提高对结节性甲状腺肿并存甲状腺癌的认识，对结节性甲状腺肿患者不应仅满足于结节性甲状腺肿的诊断而忽视并存甲状腺癌的可能。
目的：總結結節性甲狀腺腫閤併甲狀腺癌的診斷及治療經驗。方法：2007年7月-2013年12月收治結節性甲狀腺腫閤併甲狀腺癌患者73例，迴顧分析患者的臨床資料。結果：術前超聲檢查懷疑噁性病變21例(28.8%)，細針穿刺細胞學檢查診斷甲狀腺癌42例(64.6%)，術中冰凍切片檢查31例，診斷準確率90.3%(28/31)，但仍有3例漏診，漏診病例均為微小癌，術後常規石蠟切片病理檢查纔髮現。結論：臨床醫生要提高對結節性甲狀腺腫併存甲狀腺癌的認識，對結節性甲狀腺腫患者不應僅滿足于結節性甲狀腺腫的診斷而忽視併存甲狀腺癌的可能。
목적：총결결절성갑상선종합병갑상선암적진단급치료경험。방법：2007년7월-2013년12월수치결절성갑상선종합병갑상선암환자73례，회고분석환자적림상자료。결과：술전초성검사부의악성병변21례(28.8%)，세침천자세포학검사진단갑상선암42례(64.6%)，술중빙동절편검사31례，진단준학솔90.3%(28/31)，단잉유3례루진，루진병례균위미소암，술후상규석사절편병리검사재발현。결론：림상의생요제고대결절성갑상선종병존갑상선암적인식，대결절성갑상선종환자불응부만족우결절성갑상선종적진단이홀시병존갑상선암적가능。
Objective:To summarize the diagnosis and treatment experience of nodular goiter with thyroid cancer.Methods:73 patients with nodular goiter with thyroid cancer were selected from July 2007 to December 2013.The clinical data of patients were retrospectively analyzed.Results:21 cases(28.8% ) were suspected malignant lesions by preoperative ultrasonography;42 cases(64.6% ) were diagnosed thyroid cancer by fine needle aspiration cytology;31 cases were intraoperative frozen section examination;the diagnostic accuracy rate was 90.3%(28/31).But there were still 3 cases of missed diagnosis,the missed diagnosis cases were small cancer,postoperative routine paraffin section pathological examination found.Conclusion:Clinicians should improve the understanding of nodular goiter with thyroid cancer.The nodular goiter patients should not only meet in the diagnosis of nodular goiter and ignore the possible of thyroid cancer.
