摘要
目的研究甲状腺癌临床特点,探讨早期诊断甲状腺癌的方法。方法回顾性分析1999年1月至2005年1月上海交通大学附属第一人民医院经手术、病理学检查证实的甲状腺癌127例的临床表现、甲状腺超声检查及核素扫描等资料。结果127例甲状腺癌中男30例,女97例。年龄(48.9±13.6)岁。乳头状癌105例,滤泡状腺癌14例,未分化癌2例,髓样癌6例。甲状腺B超检查以低回声结节(85.1%)、实性结节(81.8%)或囊实性结节(17.4%)为主。甲状腺核素扫描主要表现为“冷”结节(88.9%)。血清甲状腺激素表达正常。结论本组甲状腺癌以女性多见,乳头状癌发生率最高。甲状腺B超、核素扫描、甲状腺激素测定等检查方法对甲状腺癌早期诊断具有一定局限性,应及时行病理学检查。
Objective To study the clinical features of thyroid carcinoma and to explore the approach of early diagnosis for the disease. Methods The data of patients with thyroid carcinoma confirmed by pathology during January of 1999 to January of 2005 in the First Hospital affiliated to Shanghai Jiao Tong University were retrospectively reviewed, including clinical appearance, thyroid ultrasonography and radioisotope scanning. Results One hundred and twenty - seven consecutive patients, 30 males and 97 females, mean age （48.9 ± 13.6） years, were diagnosed with thyroid carcinoma by surgery and pathology. A total of 127 cases of thyroid carcinoma were included, which were 105 papillary thyroid carcinomas, 14 follicular thyroid carcinomas, 2 undifferentiated thyroid carcinomas and 6 medullary thyroid carcinomas. Thyroid ultrasonography findings showed the majority （85. 1% ） thyroid nodules were low echo nodules and the proportions of solid and mixed nodules were 81.8%and 17.4%, respectively. The proportion of cold nodules was 88.9% by radioisotope scanning. Mean values of serum triiodothyronine, thyroxine and thyrotropin were all within the normal range. Conclusion In the present study the thyroid carcinomas are predominant in females and the incidence of papillary thyroid carcinomas is very high. The diagnosis of thyroid carcinoma can not just depend on findings of ultrasonography, radioisotope scanning and serum thyroid hormone.
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
2006年第7期1010-1012,共3页
Chinese Journal of Practical Internal Medicine
关键词
甲状腺肿瘤
病理
超声
核素扫描
Thyroid carcinoma
Pathology
Ultrasonography
Radioisotope scanning
