论文部分内容阅读
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 diagnosis and surgical treatment of thyroid eosinophilic tumors. Methods A retrospective analysis of 26 cases of thyroid eosinophil cell tumors admitted to our hospital from 1990 to 2008 was performed. Results 12 patients underwent thyroid subtotal resection in this group, 9 patients underwent unilateral thyroidectomy, 2 patients underwent unilateral thyroidectomy and lobectomy, 2 patients underwent total thyroidectomy, 2 patients underwent total thyroidectomy and their affected side was improved. One case of lymph node dissection. Postoperative pathology: 23 cases of thyroid eosinophil adenomas, 3 cases of eosinophils, and 1 case of cervical lymph node metastasis; 2 cases of nodular goiter, 2 cases of follicular adenoma, and bridge This thyroiditis occurred in 4 cases. Twenty-three patients were followed up from 9 months to 14 years. The median follow-up period was 6 years. No recurrence or metastasis was found. Conclusion It is very important to select suitable surgical methods and follow-up long-term follow-ups for the diagnosis and treatment of thyroid eosinophils.