论文部分内容阅读
甲状腺粘膜淋巴瘤为甲状腺恶性肿瘤的一种,临床少见。作者报道9例甲状腺粘膜相关淋巴瘤。认为对老年女性、甲状腺渐进性肿大、伴近期内迅速增大病史者应考虑到本病的可能。肿瘤常因侵犯声带或气管出现声嘶或呼吸困难。临床上易误诊为甲状腺癌、甲状腺肿、甲状腺炎及甲状腺腺瘤;病理形态以中心细胞样细胞和淋巴浆细胞为主,多数为低度恶性;治疗以手术根治为主,切缘阴性者无需进一步治疗,如阳性需适当辅助化疗和/或放疗。
Thyroid mucosal lymphoma is a type of thyroid malignancy that is rare in clinical practice. The authors reported 9 cases of thyroid mucosa-associated lymphoma. It is thought that the possibility of this disease should be taken into consideration for elderly women, progressive enlargement of the thyroid gland, and a history of rapid increase in the near future. Tumors often cause hoarseness or difficulty breathing due to a violation of the vocal cords or the trachea. Clinically misdiagnosed as thyroid cancer, goiter, thyroiditis, and thyroid adenoma; pathological morphology is dominated by central cell-like cells and lymphoplasma cells, most of which are low-grade; treatment is based on radical surgery, and margins are negative. Further treatment, such as positive need appropriate adjuvant chemotherapy and / or radiotherapy.