结节性甲状腺肿与甲状腺癌并存的诊断与治疗回顾性分析-内科学专业论文.docxVIP

目 目 录 中文摘要 1 英文摘要 2 研究论文结节性甲状腺肿与甲状腺癌并存的诊断与治疗回顾性分析 前言日U舌 33 资料与方法 3 结果 4 附表 5 讨论 6 结论 8 参考文献 9 综述 甲状腺癌的手术治疗 lO 致1谢 20 个人简历 21 来者的临床资料而对该病进行归纳总结。 来 者的临床资料而对该病进行归纳总结。 结果：本文诊断为结节性甲状腺肿并存甲状腺癌患者153例，术前均 行甲状腺彩超检查，其中高度怀疑恶性病变的患者占64．O％，其中有砂砾 钙化39．2％。此153例患者均行手术治疗，在lO年间行甲状腺手术治疗的患 者中占4．47％。发病年龄以40～59岁多见，男：女为l：5．2。临床表现以结 节性甲状腺肿的临床表现为主。临床分期以I期病例为主占74％。病理类 型以乳头状癌为主(92．2％)。手术方式包括患侧腺叶切除或加峡部切除 或加对侧腺叶次全切除术和全甲状腺切除术等。 结论：结节性甲状腺肿并存甲状腺癌的癌灶较小且淋巴结转移发生率 低，以乳头状癌为主；术前超声检查是提高并存甲状腺癌检出率的关键。 关键词：结节性甲状腺肿；甲状腺癌 英文摘要Diagnosi 英文摘要 Diagnosisl，la2n0SlS andand tl?eatmenttreatment inin nOdularnOclUlar goiter90lter withWitn associated with thyroid cancer ABSTRACT objectiVe：To discuss the new characteristics of nodular goiter associated witll thyroid cancer for inlproVement of the diagnosis and treatment． Methods：Thr-ough 1 O yeaI．s in our hospital l 53 cases of nodular goiter and thyroid cancer，the analysis of clinical data，compare the di fIference to improve the diagnosis and treannent of the disease． Results：1 53 patients the age mainly砌ged舶m 40 to 59 years．The sex ratio was 1：5．2(male：female)．The clinical characteristics were manifested as nodular goiter．64．O％of mmors were suspected as malignant lesions by p瑚peratiVeultrasound ex锄ination， in which 3 9．2％ exhibited as microcalci6cation．and microcarcinomas accounted for 40．1％．Clinical phase I cases accounted for 74％． The main path0109ical type was p印illa口 carcinoma(92．2％)．The V撕ous styles of thyroidectomy were perfomled according to the dif五。1．ent path0109ical． Conclusion：Most patients with coeXisting thyroid carcinomas and nodular goiter haVe small tllmor size and 10wer incidence of lyInph node metastasis． The coexistent thyroid carcinoma was oRen well di侬鹏ntiated papilla巧 cancer The preoperatiVe ultrasonography are helpfhl for the diagnosis of thyroid c撤inoma in nodular goiter． Key words：Nodular goiter；Thyroid Cancer； 2 研究论文结节性甲状腺肿与甲状腺癌并存的诊断与治疗回顾性分析 研究论文 结节性甲状腺肿与甲状腺癌并存的诊断与治疗回顾性分析 ．▲上，!鱼 刚 置 近些年来甲状腺癌的发病率在头颈部恶性肿瘤中已居首位，且结节性 甲状腺肿与甲状腺癌的发病率上升明显。有关文献报道称甲状腺癌的发病