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目的 探讨结节性甲状腺肿与甲状腺癌并存的临床特点和诊治原则 ,进一步提高对该病诊断和治疗的认识。方法 回顾性分析 6 8例结节性甲状腺肿与甲状腺癌并存的临床资料。结果 本组病史平均 2 6 .6年 ;平均年龄 44.4岁 ;术前诊断率为 2 6 .4% ;伴发甲亢率为 5 .7% ;微小癌占 11.8% :以乳头状癌为主要病理类型。结论 病史长及年龄偏大的结节性甲状腺肿患者应想到合并甲状腺癌的可能性 ,此时结节性甲状腺肿的手术适应证应适当放宽 ;本病术前诊断率低 ,应重视术中对可疑结节的探查 ;并非一定行甲状腺癌根治术 ,根据术中冰冻结果采用相应术式。
Objective To investigate the clinical characteristics and principles of diagnosis and treatment of nodular goiter and thyroid cancer, and to further improve the understanding of the diagnosis and treatment of the disease. Methods A retrospective analysis of 68 cases of nodular goiter and thyroid cancer coexist clinical data. Results The average history of this group was 26.6 years. The average age was 44.4 years. The preoperative diagnosis rate was 26.4%. The rate of hyperthyroidism was 5.7%. The proportion of micro-cancer was 11.8%. The main pathology was papillary carcinoma Types of. Conclusion Long history and older patients with nodular goiter should think of the possibility of thyroid cancer, when nodular goiter surgery indications should be appropriately relaxed; the low preoperative diagnosis of this disease should pay attention to intraoperative Surveillance of suspicious nodules; Radical thyroidectomy is not necessarily a radical operation, according to intraoperative frozen results using the appropriate surgical procedures.