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报告了经科手术后病理证实为淋巴细胞性甲状腺炎(甲炎)合并甲状腺癌(甲癌)9例,合并率13%。结合文献探讨了淋巴细胞性甲炎和甲癌之间的发病关系,以及二者在诊断、治疗和预后等方面的一系列问题。认为淋巴细胞性甲炎应视为甲癌发生的高危因素之一。临床诊断比较困难,建议对甲状腺进行性肿大并伴有孤立突出性实质结节,合并甲状腺痛,压迫症状或甲亢,同位素检查为冷或凉结节,TG、TM升高者应高度怀疑二者合并,应行手术治疗,术中作冰冻切片以确定手术方式和范围。合并甲炎的甲癌预后较好。
Reported nine cases of pathologically confirmed pathological lymphoblastic thyroiditis (thyroiditis) with thyroid cancer (carcinoma), the merger rate of 13%. The literature was used to explore the relationship between lymphocytic onychomyelitis and onychomycosis, as well as a series of problems in the diagnosis, treatment and prognosis. It is considered that lymphocytic onychomyelitis should be regarded as one of the risk factors for oncogenesis. The clinical diagnosis is difficult. It is recommended that the thyroid should be enlarged and accompanied by salient protuberance parenchymal nodules, with thyroid pain, compression symptoms or hyperthyroidism. The isotope test should be cold or cold nodules. The patients with elevated TG and TM should be highly suspicious. When combined, surgery should be performed and frozen sections should be made during surgery to determine the surgical approach and scope. The prognosis of armor cancer combined with thyroiditis is better.