摘要
目的探讨甲状腺嗜酸细胞肿瘤的诊断和外科治疗。方法回顾性分析我院1990至2008年收治的26例甲状腺嗜酸细胞肿瘤。结果本组行单侧甲状腺次全切除12例,单侧甲状腺腺叶切除9例,单侧甲状腺腺叶切除及峡部切除2例,甲状腺全切除术2例,甲状腺全切除加患侧改良颈部淋巴结清扫1例。术后病理:甲状腺嗜酸细胞腺瘤23例,嗜酸细胞癌3例,伴颈部淋巴结转移1例;切除标本中合并结节性甲状腺肿2例、甲状腺滤泡型腺瘤2例及桥本甲状腺炎4例。23例患者获得随访,随访时间9个月至14年,中位随访时间6年,未发现肿瘤复发或转移。结论选择适宜的外科手术方式和术后长期密切随访对甲状腺嗜酸细胞肿瘤的诊治非常重要。
Objective To investigate the clinical diagnosis and surgical treatment of Hurthle cell tumors（HCT） of the thyroid.Method A retrospective analysis was made on 26 patients with HCT admitted from 1990 to 2008 in our hospital.Results Following surgical operations were performed： 12 cases of subtotal thyroidectomy,9 cases of thyroid lobectomy,2 cases of thyroid lobectomy combined with isthmusectomy,2 cases of total thyroidectomy and 1 case of total thyroidectomy combined with modified radical cervical lymph node dissection.The pathological report showed that 23 cases were Hurthle cell adenomas,3 cases were Hurthle cell carcinomas,1 of them had cervical lymph nodes metastases,2 cases were complicated with nodular goiter,2 cases were follicular thyroma,and 4 cases were Hashimoto′s disease among this group.The follow up periods varied from 9 months to 14 years,and median follow up time was 6 years.No recurrence and death were observed during the follow up periods.Conclusions A proper surgical procedure and a careful long-time follow-up are important for a good outcome of the patients with Hurthle cell thyroid tumor.
出处
《中国肿瘤临床与康复》
2010年第2期140-142,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
