中国医科大学学报2011，Vol.40Issue(12)：1137-1139,1144,4.DOI:21-1227/R.20111226.1613.017
慢性淋巴细胞性甲状腺炎合并甲状腺癌104例临床分析
Clinical Analysis of Chronic Lymphocytic Thyroiditis Coexisting with Thyroid Cancer in 104 Patients
邵自功 1易德会 1钟鑫平 1刘婷婷 1程颖 1刘永锋1
作者信息
- 1. 中国医科大学附属第一医院普通外科教研室,器官移植科,沈阳110001
- 折叠
摘要
Abstract
Objective To determine the incidence of patients with chronic lymphocytic thyroiditis (CLT) coexisting with thyroid cancer in our institution, and surgical indication of CLT with nodules. Methods Clinical data were collected and analyzed from patients undergoing thyroidectomy and pathologically proved CLT coexisting with thyroid cancer at China Medical University from Oct. 2004 to Sep. 2010. Results The incidence of CLT coexisting with thyroid cancer in this study is 35.99%( 104/289). 27.88% cases were correctly diagnosed before operation. 96.15% of patients were found thyroid nodules and 80.77% of them were calcification. All the patients underwent surgical procedure, only 5 (4.8%) of whom relapsed in 2 years. Conclusion CLT may be a precursor of thyroid cancer. Surgical treatment should be considered for CLT coexisting with nodules, especially those with calcification and/or ECT proving "cold nodule". The surgical procedure of CLT coexisting with thyroid cancer should follow the principle of radical surgery of thyroid cancer.关键词
慢性淋巴细胞性甲状腺炎/桥本氏甲状腺炎/甲状腺癌Key words
chronic lymphocytic thyroiditis/ Hashimoto's thyroiditis/ thyroid cancer分类
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邵自功,易德会,钟鑫平,刘婷婷,程颖,刘永锋..慢性淋巴细胞性甲状腺炎合并甲状腺癌104例临床分析[J].中国医科大学学报,2011,40(12):1137-1139,1144,4.
