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目的 探讨甲状腺机能亢进症合并甲状腺癌的诊断和治疗方法。方法 对近年来收治甲状腺机能亢进症合并甲状腺癌 15例的临床资料进行回顾性分析。结果 术前B超引导下细针穿刺细胞学检查 6例 ,确诊 5例 ,术中快速冰冻切片病理检查确诊 2例。一期根治性手术 7例 ,二期手术 5例。随访 1～ 6年 ,无复发和转移。结论 甲亢合并甲状腺癌术前确诊较困难 ,对超声检查发现甲状腺内结节行针吸细胞学检查或术中对可疑结节行快速冰冻切片病理检查是确诊的首选方法 ,有助于术式的选择 ,可避免二次手术。术后需终生服用抑制剂量的甲状腺素。
Objective To investigate the diagnosis and treatment of hyperthyroidism with thyroid cancer. Methods The clinical data of 15 cases with thyroid hyperthyroidism and thyroid carcinoma admitted in recent years were analyzed retrospectively. Results Preoperative B-guided fine needle aspiration cytology in 6 cases, diagnosed in 5 cases, intraoperative frozen section biopsy confirmed 2 cases. A radical surgery in 7 cases, two cases of surgery in 5 cases. Follow-up 1 to 6 years, no recurrence and metastasis. Conclusion Preoperative diagnosis of hyperthyroidism complicated with thyroid cancer is more difficult. Ultrasonography found that thyroid nodules by needle aspiration cytology or intraoperative fast frozen section of suspicious nodules pathological examination is the preferred method of diagnosis, contribute to the surgical Choose to avoid secondary surgery. Thyroid hormone should be taken for the rest of your life with a suppressed dose.