论文部分内容阅读
目的:探讨结节性甲状腺肿合并甲状腺癌的诊治方法。方法:回顾性分析32例结节性甲状腺肿合并甲状腺癌患者的临床资料。结果:32例均行手术治疗,术后经组织病理学检查确诊;3例复发,行2次手术治疗,1例死于甲状腺癌肺转移。结论:对疑似甲状腺癌的结节性甲状腺肿,行细针穿刺及术中快速冰冻切片病理学检查可明确诊断,能避免再次手术;术后甲状腺素替代治疗可避免疾病复发。
Objective: To investigate the diagnosis and treatment of nodular goiter complicated with thyroid cancer. Methods: The clinical data of 32 patients with nodular goiter complicated with thyroid cancer were retrospectively analyzed. Results: Thirty-two patients underwent surgical treatment, confirmed histopathologically after surgery. Three patients relapsed and underwent two surgeries and one patient died of lung metastasis from thyroid cancer. Conclusion: For nodular goiter suspected of thyroid cancer, fine needle aspiration and intraoperative rapid frozen section pathological examination can confirm the diagnosis and avoid reoperation. Postoperative thyroid hormone replacement therapy can prevent the recurrence of the disease.