淋巴细胞性甲状腺炎合并甲状腺癌（附9例临床分析）

Lymphocyticthyroiditiscoexistentwiththyroidcan-cer,

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。

inecasesbetweenlymphocyticthyroiditiscoex-istentwiththyroidcancertreatedbysurgicalopera-tionsanddiagnosedbypathologicalexamswerere-portedinthisarticle,Therelationsbetweenlympho-cyticthyroiditisandthyroidcancerinincidence,diag-nosis,treatmentandprognosiswerediscussedwithreferenceofpapers.Lymphocyticthyroiditisshouldbeoneofriskfactorsresultingincancer.Clinncaldiagno-sisismoredifficaltinboth.Thepatientswithpro-gressinggoiterandproject-solitarynodules,hyperthy-roidism,pressuresymptoms,coldnoduleonthyroidscanandelevationofTM。TGshouldbehighlysus-pectedoflymphocyticthyroiditiscoexistentwithcan-cer,andgivenoperationtreatment.Intraoperativefrozenbiopsyisrecommendedtoconfirmoperativemethodandextension。