甲状腺肿瘤334例临床病理分析

The Pathoeogical Analysis on 334 Patients with Thyroid Tumor

目的探讨甲状腺肿瘤的病理诊断方法和良恶性肿瘤的分类。方法通过对我院病理科2006年至2008年334例确诊为甲状腺肿瘤的病例的临床情况、病理组织学类型及其生物学特性以及恶性肿瘤的随访情况进行分析。结果男女之比为1∶4.21;良性肿瘤占244例占73.1%,恶性肿瘤90例占26.9%,良性中滤泡性腺瘤占96.9%,乳头状腺瘤3.1%;恶性中乳头状腺癌81例占90.0%,滤泡状腺癌5例占5.56%,髓样癌3例占3.3%,嗜酸细胞癌1例占1.1%。结论对甲状腺肿瘤的诊断,我们主张良性肿瘤分为滤泡性腺瘤,乳头状腺瘤两种类型。而癌分为乳头状腺癌、滤泡性腺癌、未分化癌、髓样癌4类的观点。对于难分类者,可作免疫学进一步区分。

Objective To discuss the diagnosis and classification of benign and malignant tumor of thyroid.Met-hods. Method though my hospital 2006 year to 2008 year. 334 cases of The pathoeogical analysis. The clinical emergence,histopathological type,biological characteristic and the clinical follow-up observation for malignant tumor were analyzed in 334 cases of thyroid tumor. Results Male-female ratio is 1 to 4.21 with be-nign tumor224 cases.73.1%. malignant 90 cases 26.9% of benign tumors were follicular adenoma, of malignant tumors were papillary adenocarcinoma, 81 cases, of malignant 90.0% follicular adenocarcinoma, 5 cases 5.56% medullary carcinoma,3cases 3.3%, mixed adenocarcinoma and 0.3% medullary carcinoma. Conclusions For the classification and diagnosis of thyroid tumor, we suggest that adenoma be classified as follicular, papillary and atypical adenoma,while carcinoma be classified as papillary and follicular adenocarcinoma,undifferentiated carcinoma, and medullary carcinoma.Immunohis-tochemical method can be used for those difficult to distingnish.