63例甲状腺癌临床诊断及核素显像与病理对照分析

The Clinical Diagnosis and Comparative Analysis Between Nuclear Imaging and Pathology of 63 Cases of Thyroid Carcinoma

本院自1985年至1995年期间共收治甲状腺疾病1498例,其中甲状腺癌63例,占4.2％,男性19例,女性44例,男女比例为1:2.3,年龄19～86岁,病程最长30年,最短15天.临床病理诊断乳头状癌36例(57.1％),滤泡状癌21例(33.3％),未分化癌2例(3.2％),髓样癌2例(3.2％),腺瘤癌变2例(3.2％),本文就甲状腺癌在结节疾病分布情况、甲状腺癌在各类结节中的发病情况、甲状腺癌与甲状腺结节数目关系及核素显像对结节的诊断价值进行了探讨分析,结果表明,甲状腺核素显像对甲状腺病变性质的判断虽无决定性价值,但可根据核素显像图功能损害程度,结合临床可以初步估计良恶性。

1498 patients of thyroid gland disease were treated in our hospital from 1985 to 1995, of which 63 were thyroid carcinoma, constituted 4.2%. In these, 19 were males and 44 were females. The ratio of male to famale was 1:2.3. The ages varied from 19 to 86 years. The longest course of disease was 30 years and the shortest was 15 days. 36 papellary carcinoma (57.1%), 21 follicullar carcinoma (33.3%), 2 undifferentiated carcinoma (3.2%), 2 medullary carcinoma (3.2%) and 2 adenoma with malignant change (3.2%) were pathologically diagnosed. This article analysed the epidemic of thyroid carcinoma in nodular diseases, the relationship between thyroid nodes and the diagnostic value of nuclear imaging. The result showed, nuclear imaging had no definite diagnostic value in thyroid diseases, but when combined with clinical material, it can be used to evaluate the maliganant or benign nature of the diseases.