摘要
目的 :探讨对1例合并甲状腺癌的原发性甲亢症患者进行治疗的临床效果。方法 :对2015年4月22日我院内分泌科收治的1例合并甲状腺癌的原发性甲状腺功能亢进症的男性患者的临床资料进行回顾性研究。对该例患者先使用甲巯咪唑进行治疗,在其病情稳定后,对其进行全身麻醉为其进行双侧甲状腺全切除手术。术后留院观察2天后,该患者的一般情况好转出院。该患者在出院2周后,对其进行I131、"清甲"及甲状腺功能替代治疗。在该患者进行治疗期间,对其进行连续的随访。然后,观察该例患者的治疗效果。结果:在术后留院观察2天后,该患者的一般情况好转后出院。对患者进行随访的结果显示,暂未发现其出现甲状腺功能亢进症和甲状腺癌复发的情况,其目前状况良好。结论 :对合并甲状腺癌的原发性甲状腺功能亢进症患者在进行双侧甲状腺全切除术治疗的基础上,对其进行I131、"清甲"及甲状腺功能替代治疗,可明显缓解其临床症状,改善其预后。、
This paper reported one primary hyperthyroidism complicated by thyroid cancer case who was male,from Shanxi.He was found thyrotoxicosis and thyroid nodule through thyroid disease medical examination.He had no other symptoms except flustered,sweat and weak.Thyroid ultrasonic displayed the diffuse enlargement of thyroid bilateral glands and malignant thyroid nodule signs.Fine-needle aspiration cytology showed papillary arranging thyroid follicular epithelial cells and frosted glass changes.Patient performed bilateral total resection of the thyroid glands under general anesthesia in general department. Intraoperative cutting speciments were sent to ungo frozen section examinations and confirmed thyroid papillary carcinoma.Postperative patient conducted 131 I ＂ablation＂ therapy and thyroid function replacement therapy.
