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題 名 | Thyroid Cancer in Associated Hashimoto's Thyroiditis=橋本氏甲狀腺炎與甲狀腺癌相似與併存 |
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作 者 | 林明燦; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 26:2 民82.03-04 |
頁 次 | 頁1670-1675 |
分類號 | 416.213 |
關鍵詞 | 甲狀腺癌; 橋本氏甲狀腺炎; Hashimoto's thyroiditis; Thyroid cancer; Diagnosis; |
語 文 | 英文(English) |
中文摘要 | 文獻上,關於橋本氏甲狀腺炎之病人是否會增加甲狀腺癌的罹患率,或是當兩者並存時是否會增加診斷上的困難度,都存在著相當程度的爭議性。本篇論文研究主要是針對以上兩點。一千七百三十三位病人在1982年至1988年間,在本院接受過甲狀腺切除術。檢視他們的病理報告發現,共有24例為橋本氏甲狀腺炎。其中7例有甲狀腺癌並存,且歸類於第一組。兩者並存率為29.2%。所有7例並存的甲狀腺癌均屬於乳頭狀腺癌。其餘17例為無並存癌症的橋本氏甲狀腺炎,歸屬於第二組。比較這兩組臨床上的差異發現,增加橋本氏甲狀腺炎患者並存甲狀腺癌機率的可能因子為:(1)Clark先生所提及的第三類型橋本氏甲狀腺炎;(2)外加甲狀腺素對甲狀腺腫瘤沒有抑制性;(3)不具功能的甲狀腺腫瘤。我們對橋本氏甲狀腺炎的外科手術適應症為:(1)疑似或經抽出性細胞學證實之惡性腫癌;(2)繼續生長的腫瘤對外加甲狀腺素沒有反應;(3)美觀問題;(4)壓迫性症狀。 |
英文摘要 | Considerable controversy exists concerning (1) whether patients with Hashimoto's thyroiditis have an increased risk of thyroid cancer; (2) whether there is increased difficulty in diagnosing an existing thyroid cancer in Hashimoto's thyroiditis. One thousand seven hunderd and thirty-three patients who have had thyroidectomy in the Department of Surgery, National Taiwan University Hospital, from 1982 to 1988 have been reviewed in histological examination. Among these, 24 cases of Hashimoto's thyroiditis were found. Seven cases as coexisted with thyroid cancer, and have been classified as Group 1, with a coexistent incidence of 29.2%. All seven cases were papillary type adenocarcinoma.The other 17 patients of Hashimoto's thyroiditis had no coexistent cancer; they were classified as Group 2. Further analyses of the clinical features of both Group 1 and 2 demonstrated that the increased risk factors for thyroid cancer in Hashimoto's thyroiditis include (1) Type 3 of Hashimoto's thyroiditis according to Clark's classification; (2) non-suppression of mass with exogenous thyroid hormone; (3) non-functioning nodule. Surgical indications for the patients with Hashimoto's thyroiditis in this series were (1) suspected or proved malignancy in aspirative cytological examination; (2) a growing nodule which is unresponsive to TSH suppression; (3) cosmetic reasons; (4) pressure symptoms. |
本系統中英文摘要資訊取自各篇刊載內容。