原发性甲状腺功能亢进合并甲状腺癌的外科治疗

目的对甲状腺的甲状腺功能亢进症与甲状腺癌合并发生的病例作分析,探讨其关系及预后。法我方院自1995-2003年的甲状腺功能亢进与甲状腺癌并存,并有病理结果的病历作临床分析,结合文献讨论。此期有甲状腺功能亢进症206例,并甲状腺癌8例。果本组发病率为3.88%,术前甲状腺结节为37.5%,术后随访甲状腺功能结亢进甲状腺癌未见复发。结论甲状腺功能亢进与甲状腺癌术前诊断比较困难,提示积极手术疗效较好,预后较好。

Objective A retrospective study has been carried out to evaluate the prevalence of coincidence with hyperthyroidism and thyroid carcinoma, and its diagnosis,treatment and prognosis. Methods 8 cases of hyperthyroidism concurring with thyroid carcinoma hospitalized during 1995 003 were proved by postoperative pathology.Their date together with the literature concerned were analysed. Rusults The morbidity was 3.88%,3 cases showed thyroid nodules.No case recurred during the follow-up. Conclusion The clinical diagnosis is still difficult and chiefly depends on postoperative pathology. Rational surgical treatment can result in good effects and better pronosis.