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目的 :了解本地区甲状腺瘤的发病情况及其各组织类型的分布现状 ;并探讨各型甲状腺肿瘤的诊断标准。方法 :收集本院 1973～ 1999年 76 3例甲状腺肿瘤的临床病理资料 ,进行回顾性统计分析 ,并重新复习切片 ,统一诊断标准再次确认诊断。结果 :甲状腺肿瘤以良性多见 ,良恶性之比为 6 .2∶ 1。各类型肿瘤发生高低顺序为 :滤泡性腺瘤 (占 85 .19% ) ,乳头状腺癌 ,滤泡性腺癌 ,乳头状腺瘤 ,髓样癌 ,未分化癌 ,不典型腺瘤 ,儿童甲状腺癌。各类型肿瘤均以女性明显多于男性 ,好发年龄 2 0～ 5 9岁。肿瘤发生于甲状腺右侧多见。结论 :本组甲状腺肿瘤的发生率 ,好发年龄、性别、良恶性之比与文献报道基本一致。对于甲状腺肿瘤的病理诊断应注意 :大体标本应常规行“书页状切开”对光透视 ;对可疑恶性病变 ,应连续切片观察包膜、血管、周围组织浸润情况 ,以提高诊断率。
Objective: To understand the incidence of thyroid tumors in the region and the status quo of the distribution of each tissue type; and to explore the diagnostic criteria for various thyroid tumors. Methods: The clinical and pathological data of 763 thyroid tumors from 1973 to 1999 in our hospital were collected retrospectively and analyzed retrospectively. The diagnostic criteria were reassessed to confirm the diagnosis. Results: The most common thyroid tumors were benign and malignant, with a ratio of 6 .2: 1. The order of the various types of tumors was follicular adenoma (85.19%), papillary adenocarcinoma, follicular adenocarcinoma, papillary adenoma, medullary carcinoma, undifferentiated carcinoma, atypical adenoma, pediatric thyroid cancer. All types of tumors were significantly more women than men, good hair age 20 ~ 59 years. Tumor occurred in the right side of the thyroid more common. Conclusion: The incidence of thyroid tumors in this group, the incidence of age, gender, the ratio of benign and malignant consistent with the literature. The pathological diagnosis of thyroid tumors should pay attention to: the general specimen should be routinely “book page cut” on the light perspective; suspicious malignant lesions should be continuous section of the envelope, blood vessels, the surrounding tissue infiltration, in order to improve the diagnostic rate.