通过对 4 88例原诊断为甲状腺腺瘤的病理资料进行复查、回顾性分析 ,发现其中仅 5 6%为真正的腺瘤 ,其余的 4 4 %为单结节性甲状腺肿 .认为过去对腺瘤诊断过松 ,应严格按照腺瘤的诊断标准 ,从瘤 /结节的数量、包膜、瘤内外组织形态等方面把握腺瘤与结节性甲状腺肿的鉴别诊断 . By reviewing and retrospectively analyzing the pathological data of 488 cases of thyroid adenomas, it was found that only 56% of them were true adenomas, and the remaining 44% were single nodular goiters. Tumor diagnosis is too loose, should be strictly in accordance with the diagnostic criteria of adenoma, from the number of tumors / nodules, envelope, intramural and external tissue morphology and other aspects to determine the differential diagnosis of adenoma and nodular goiter.