甲状腺机能亢进与甲状腺癌（附9例临床报告及文献复习）

Hyperthyroidism and thyroid carcinoma.

１９８０～１９９２年，我院手术治疗甲亢３２４例，切除甲状腺组织经病理学检查，有９例合并有甲状腺癌，发生率为２．８４％，其中原发性甲亢患者甲癌发生率为１．５２％（４／２６３），结节性甲状腺肿继发甲亢患者甲癌发生率为７．８％（４／５１），高功能腺瘤患者甲癌发生率为１０％（１／１０），有“冷结节”的甲亢患者甲癌发生率为１３．３％（２／１５）．９例病人中乳头状腺癌６例，滤泡状腺癌２例，混和性癌１例．有５例病人癌肿直径小于ｌｃｍ．从大量的文献及我们的资料可以看出甲亢与甲癌是相关的。

ithin 12 years from 1980 to 1992, 324 patients un-derwent surgery because of byperthyroidism in ourhospital. Histological examination of resected thyroidtissue revealed carcinoma in 9 cases (2. 84 N ), 1. 52N(4/263) in primary primary hyperthyroidisms,, 7. 84% (4/51)in secondary multinodular goiters, and 10%(1/10)intoxic uninodalar goiter's. In the patients with. coldnodular', 13. 3 % (2/15) were found thyroid carcnoma,of 9 Patients with thyroid carcinoma, 6 were papillarycarcinoma, 2 were follicular carcinoma and 1 wasedxed cartinoma. The diameters of tumor in 5 patientswere lin than Icm. From many articles and our infor-mations, we can find that thyroid carcinoma is relatedto kWrthyToidism. Our article discuses about the eti-ology, diagnosis and treatment of the thyroid carcino-ma in hyporthyroidism.