摘要
目的探究甲状腺多发结节伴甲状腺癌患者的诊治体会。方法方便选取该院2012年3月—2017年3月这一时间段收治的甲状腺多发结节伴甲状腺癌患者62例作为该次研究对象,对患者病理特征、诊断、手术方式进行分析。结果在同期收治的126例甲状腺癌患者中,甲状腺多发结节伴甲状腺癌共有62例,占总数的49.21%,其中,乳头状癌为98.39%,在62例患者中,多灶性甲状腺癌为6.56%,结节性甲状腺肿合并癌变为59.02%。结论在甲状腺多发结节患者中,甲状腺癌多半为乳头状癌,患病年龄普遍偏大,癌灶通常与良性疾病并存。在临床诊断上,对于甲状腺多发结节患者要考虑到恶性病变的可能,并对患者实施术中冰冻病理切片,以辨别性质,确保预后效果。
Objective This paper tries to research the diagnosis and treatment of patients with multiple thyroid nodules complicated by thyroid cancer.Methods 62 patients with multiple thyroid nodules complicated by thyroid cancer treated in this hospital from March 2012 to March 2017 were convenient selected as research objects,and the pathological characteristics,diagnosis and operation methods of patients was analyzed.Results For 126 patients with thyroid cancer during the same period,there were 62 cases with multiple thyroid nodules complicated by thyroid cancer,which occupied by 49.21%,in which the patients with papillary carcinoma occupied by 98.39%.For 62 cases,the patients with multiple thyroid cancer occupied by 6.56%,and that with nodular goiter merged with cancerization occupied by 59.02%.Conclusion For the patients with multiple thyroid nodules,most patients with thyroid cancer were papillary carcinoma,the patients were older,and the caner lesion generally coexisted with benign disease.For clinical diagnosis,it was needed to consider the possibility of malignant lesion for the patients with multiple thyroid nodules,and it was necessary to implement frost pathology section in operation to identify properties,for ensuring prognosis effect.
作者
师文超
孙厚权
刘园园
SHI Wen-chao;SUN Hou-quan;LIU Yuan-yuan(Surgery Department,Fengxian Traditional Chinese Medicine Hospital,Fengxian,Jiangsu Province,221700 China)
出处
《中外医疗》
2018年第3期73-75,共3页
China & Foreign Medical Treatment
关键词
甲状腺多发结节伴甲状腺癌
诊治
分析
Multiple thyroid nodules complicated by thyroid cancer
Diagnosis and treatment
Analysis
