结节性甲状腺肿合并甲状腺癌临床诊治分析

摘要

目的：总结结节性甲状腺肿合并甲状腺癌的诊断及治疗经验。方法：2007年7月-2013年12月收治结节性甲状腺肿合并甲状腺癌患者73例，回顾分析患者的临床资料。结果：术前超声检查怀疑恶性病变21例(28.8%)，细针穿刺细胞学检查诊断甲状腺癌42例(64.6%)，术中冰冻切片检查31例，诊断准确率90.3%(28/31)，但仍有3例漏诊，漏诊病例均为微小癌，术后常规石蜡切片病理检查才发现。结论：临床医生要提高对结节性甲状腺肿并存甲状腺癌的认识，对结节性甲状腺肿患者不应仅满足于结节性甲状腺肿的诊断而忽视并存甲状腺癌的可能。%Objective:To summarize the diagnosis and treatment experience of nodular goiter with thyroid cancer.Methods:73 patients with nodular goiter with thyroid cancer were selected from July 2007 to December 2013.The clinical data of patients were retrospectively analyzed.Results:21 cases(28.8% ) were suspected malignant lesions by preoperative ultrasonography;42 cases(64.6% ) were diagnosed thyroid cancer by fine needle aspiration cytology;31 cases were intraoperative frozen section examination;the diagnostic accuracy rate was 90.3%(28/31).But there were still 3 cases of missed diagnosis,the missed diagnosis cases were small cancer,postoperative routine paraffin section pathological examination found.Conclusion:Clinicians should improve the understanding of nodular goiter with thyroid cancer.The nodular goiter patients should not only meet in the diagnosis of nodular goiter and ignore the possible of thyroid cancer.