慢性淋巴细胞性甲状腺炎合并甲状腺恶性肿瘤的临床诊治观察

摘要

ObjectiveTo explore the principles of diagnosis and treatment of chronic lymphocytic thyroiditis (CLT) coexistent with thyroid malignancy.MethodsThe clinical data of 38 patients with CLT, including clinic opathologic features, treatment, and prognosis were retrospectively analyzed.Results Chronic lymphocytic thyroiditis with papillary carcinoma 29 cases, the merger medullary carcinoma 3 cases, combined lymphoma 6 cases. 35 cases received follow-up, the treatment effect of 86.84% patients was good.ConclusionChronic lymphocytic thyroiditis thyroid malignant tumor in the combining more papillary carcinoma (29/38). Preoperative thyroid function, serum thyroid antibody detection, B ultrasonic and intraoperative and postoperative biopsy can improve the diagnosis and treatment, and help to choose the right operation method.%目的：对慢性淋巴细胞性甲状腺炎（CLT）合并甲状腺恶性肿瘤的临床诊治方法进行探讨。方法回顾性分析38例CLT合并甲状腺恶性肿瘤患者的诊断及治疗过程。结果CLT合并乳头状癌29例，CLT合并髓样癌3例，CLT合并淋巴瘤6例。其中35例获得随访，86.84%的患者治疗效果良好。结论 CLT合并甲状腺恶性肿瘤中以合并乳头状癌居多（29/38）。术前甲状腺功能、血清甲状腺抗体检测、B超及术中和术后切片检查可以提高诊断率和治疗率，并有助于选择正确的手术方式。