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目的 探讨甲状腺炎与甲状腺癌并存的诊断要点及手术探查指征。方法 对 16例甲状腺炎与甲状腺癌并存病例的临床资料进行回顾性分析。结果 16例均行根治性手术治疗 ,其中亚急性甲状腺炎 4例 ,桥本甲状腺炎 12例。乳头状腺癌 12例 ,滤泡状腺癌 3例 ,乳头状与滤泡状混合癌 1例。 16例术后随访 2个月～ 9年 ,均无癌复发与转移。结论 强调对有甲状腺结节的甲状腺炎经系统药物治疗后 ,如结节未见缩小、甚或有增大趋势者 ,或经SPECT扫描 (或131碘扫描 )为“冷 -凉”结节而B超证实为实质性结节者 ,宜及早行甲状腺探查术 ,以免延误甲状腺癌的治疗
Objective To investigate the diagnosis of thyroiditis and thyroid cancer and the indications for surgical exploration. Methods The clinical data of 16 cases of thyroiditis and thyroid cancer coexisted were retrospectively analyzed. Results Radical surgery was performed in all 16 cases, including 4 cases of subacute thyroiditis and 12 cases of Hashimoto’s thyroiditis. There were 12 cases of papillary adenocarcinoma, 3 cases of follicular adenocarcinoma, and 1 case of papillary and follicular mixed carcinoma. 16 cases were followed up for 2 months to 9 years without cancer recurrence and metastasis. CONCLUSIONS: After systemic treatment of thyroiditis with thyroid nodules, no evidence of reduction in the nodule, or even a tendency to increase, or SPECT (or 131 iodine scan) as a “cold-cold” nodule, B Those who are confirmed to be substantial nodules should undergo early thyroid probing in order to avoid delaying the treatment of thyroid cancer.