1663例甲状腺疾病的病理分类

The Pathological Classification of 1663 Cases with Thyroid Diseases

作者对１６６３例甲状腺疾病的病理分类及特征进行分析研究。结果表明：甲状腺腺肿发病率最高（４２．７％），并易误诊为甲状腺腺瘤；乳头状腺癌为甲状腺癌中最常见类型（５６．７％），髓样癌最少见（３．５％），类淀粉样物质沉积可作为光镜下对其进行诊断的依据；亚急性肉芽肿性甲状腺炎及桥本氏甲状腺炎在甲状腺炎症性病变中最为多见，分别为３０．６％和５６．５％，而且在手术前易误诊为甲状腺癌，值得注意。

The authers analysed the pathological classification of 1663 cases with thyroid diseases.Goiter oc-curred most commonly(42.7%)and was easily misdiagnosed as thyroid adenoma,Papillary adenocarci-noma was the most commonly type in thyroid carcinomas(56.7%).Medullary carcinoma was rare(3.5%)and the deposit of amiloid substance was indicator for diagnosis under microscope. Suhacute granu-lomatous thyroiditis and Hashimoto's thyroiditis were most frequently seen in inflammatory thyroid dis-eases(30.6%and 56.5%,respectively),and tended to be confused with thyroid carcinoma before op-eration.