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目的探讨慢性淋巴细胞性甲状腺炎(H D)合并甲状腺癌的诊断和外科治疗原则。方法对101例H D患者中同时合并甲状腺癌的11例进行手术治疗,经病理证实,并对二者的合并发生率、诊断以及治疗情况进行回顾性分析。结果H D与甲状腺癌的合并率为10.9%(11/101),11例患者随访6个月￣9年,均无癌肿复发及转移,疗效满意。结论H D与甲状腺癌可能有相同的发病机制,临床上对孤立的甲状腺结节治疗后无缩小或增大,B超提示为实质性结节,甲状腺131I扫描(或SPEC T)提示“冷结节”者,应早日手术治疗。
Objective To investigate the diagnosis and surgical treatment of chronic lymphocytic thyroiditis (H D) complicated with thyroid cancer. Methods Eleven patients with concurrent thyroid cancer undergoing H D were surgically treated by pathology and confirmed by pathology. The incidence, diagnosis and treatment of the two were retrospectively analyzed. Results The combined rate of H D and thyroid cancer was 10.9% (11/101). All the 11 patients were followed up for 6 months to 9 years. No recurrence or metastasis was found in the patients with satisfactory results. Conclusion HD and thyroid cancer may have the same pathogenesis. Clinically, there is no reduction or enlargement of isolated thyroid nodules. B-ultrasound suggests substantial nodules. Thyroid 131I scan (or SPEC T) suggests that “cold nodules ”Those who should be as soon as possible surgery.