甲状腺癌47例诊治分析

Diagnosis and treatment analysis of thyroid carcinoma in 47 cases

目的:探讨甲状腺癌的临床特点、诊断和治疗方法。方法:对47例手术治疗的甲状腺癌患者临床资料进行回顾性分析。结果:术前彩超诊断符合率为53.19%;乳头状癌39例,滤泡状癌5例,髓样癌1例,未分化癌2例。颈部淋巴结转移10例,浸润甲状腺外膜6例、气管1例、颈部肌群3例、喉返神经2例。合并结节性甲状腺肿7例,甲状腺功能亢进1例,桥本甲状腺炎2例,甲状腺腺瘤1例。临床诊断与病理诊断符合率为40.43%。术后并发症主要有一过性声音嘶哑3例,暂时性抽搐4例。结论:甲状腺癌以分化型为主,临床症状无特异性;手术切除是甲状腺癌的主要治疗方法,手术方式应根据病变性质、分期及患者情况个体化。

Objective：To investigate the clinical characteristics, diagnosis and treatment of thyroid cancer. Methods：The clinical data of 47 patients with thyroid cancer were retrospectively analysed. Results： Coincidence rate of preoperative diagnosis through uhrasonography was 53.19%. Papillary carcinoma in 39 cases, follicular carcinoma in 5 cases, medullary carcinoma in 1 case and anaplastic carcinoma in 2 cases were found. Cervical lymph node metastasis in 10 cases were found including thyroid membrane invasion in 6 cases, trachea invasion in 1 case, neck muscle in 3 cases and recurrent laryngeal nerve in 2 cases. Seven cases with nodular goiter, 1 case with hyperthyroidism,2 cases with Hashimoto disease and 1 case with thyroid adenoma were detected. Coincidence rate of clinical and pathological diagnosis was 40.43%. Complication,included transient hoarseness in 3 cases and temporary convulision in 4 cases. Conclusions ：The differentiated thyroid carcinoma was the main form of thyroid cancer, its clinical symptom was not specificity. Operation resection is the main method in the treatment of thyroid cancer, the choice of surgical method should be based on the nature of the lesions, staging and patient status.