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目的探讨慢性淋巴细胞性甲状腺炎合并甲状腺微小乳头状癌的病因、诊断及治疗。方法回顾性分析我科2010~2011年收治的慢性淋巴细胞性甲状腺炎合并甲状腺微小乳头状癌16例患者的临床资料。结果 16例患者术前彩超均发现甲状腺低回声结节。10例TSH升高,16例甲状腺抗体检测均增高。所有患者均行手术治疗,均经术中冰冻病理确诊。结论慢性淋巴细胞性甲状腺炎合并甲状腺微小乳头状癌漏诊率高,诊断时需高度警惕。手术是有效的治疗方法。术中冰冻病理检查确诊率高。预后较好。
Objective To investigate the etiology, diagnosis and treatment of chronic lymphocytic thyroiditis complicated with papillary thyroid carcinoma. Methods The clinical data of 16 patients with chronic lymphocytic thyroiditis complicated with papillary thyroid carcinoma admitted in our department from 2010 to 2011 were retrospectively analyzed. Results 16 cases of preoperative ultrasonography were found hypoechoic nodules. 10 cases of TSH increased, 16 cases of thyroid antibodies were detected. All patients underwent surgical treatment, were confirmed by intraoperative frozen pathology. Conclusion The diagnosis rate of chronic lymphocytic thyroiditis complicated with papillary thyroid carcinoma is high. Surgery is an effective treatment. Intraoperative frozen pathological examination confirmed the high rate. The prognosis is good.