416例甲状腺肿瘤临床病理分析

Clinical Pathological Analysis of 416 Cases with Thyroid Tumor

目的了解本地区甲状腺肿瘤的发病情况，探讨甲状腺肿瘤的诊断与鉴别诊断6方法对416例甲状腺肿瘤病理资料进行回顾性分析。结果甲状腺肿瘤以良性多见，良恶性之比为8．2：1。各类型肿瘤均以女性明显多于男性，男女之比为1：5．4，好发年龄为21～50岁，肿瘤发生于甲状腺右侧多见。结论本组甲状腺肿瘤的发生率、好发年龄、性别差异、良恶之比与文献报道基本一致。乳头状腺瘤与乳头状癌的鉴别有一定难度，对可疑标本要多处取材，连续切片，仔细观察，找出其特征，提高诊断的准确性。

Objective To study the incidence of thyroid tumor in the local district and to discuss the diagnosis and differential diagnosis of thyroid tumor. Methods A retrospective analysis was made to the pathological data of 416 cases with thyroid tumor. Results Most of the thyroid tumors were benign ; the ratio between benign and malignant was 8.2 ： 1. Among the patients, female were more than male,the ratio was 5.4： 1 ;the predilection age was between 21 to 50 years old;the tumors were found more in the right side of thyroid. Conclusions The incidence rate, predilection age, sex differentia, benign and malignant ratio conform to the literature. There exists a certain difficulty in differentiating papillary adenoma and papillary carcinoma, so for suspicious ones, samples should be taken from more spots, continuous sections should be cut and then careful observation should be made so as to raise the correctness of diagnosis.