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目的提高对原发性甲状腺鳞癌的认识。方法结合文献对该院收治的1例患者进行分析讨论。结果原发性甲状腺鳞癌主要临床表现为甲状腺结节短期内迅速增大,伴有声音嘶哑、呼吸困难、体重下降等。肿瘤质硬,固定,边界不清,侵犯喉周围组织及血管,在就诊时多已属晚期且对放、化疗抗拒。结论原发性甲状腺鳞癌呈高度恶性,可与甲状腺其他良、恶性疾病并存;要重视对该病的诊断和鉴别诊断;早发现、根治性手术+放疗+化疗是提高生存率的关键。
Objective To improve the understanding of primary thyroid squamous cell carcinoma. Methods Combined with the literature on the hospital admitted to a case analysis and discussion. Results Primary thyroid squamous cell carcinoma of the main clinical manifestations of thyroid nodules increased rapidly in the short term, accompanied by hoarseness, dyspnea, weight loss and so on. Tumor hard, fixed, the border is unclear, violations of the throat tissue and blood vessels, at the time of treatment are already more advanced and on radiotherapy and chemotherapy resistance. Conclusions Primary thyroid squamous cell carcinoma is highly malignant and may coexist with other benign and malignant thyroid diseases. It is important to pay attention to the diagnosis and differential diagnosis of the disease. Early detection and radical operation + radiotherapy + chemotherapy are the keys to improve the survival rate.