在全甲状腺切除术后,隐性 (潜伏的) 甲状腺癌和多结肠的共存:一项回顾性研究
Athanasios Permekerlis1, Christos Tepelidis1, Eirini Gemousakaki1
1Second Surgical Department, 424 General Military Hospital, Thessaloniki, GRC.
Cureus
|July 15, 2024
概括
在接受全甲状腺切除术的非毒性多节 (MNG) 患者中,发现了14.02%的隐性甲状腺癌. 这强调了需要仔细评估和管理MNG以检测隐藏的恶性瘤.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 病理学 病理学 病理学
背景情况:
- 多节 (MNG) 是一种常见的甲状腺疾病,具有共存恶性瘤的风险.
- 在MNG中隐藏的 (潜伏的) 甲状腺癌带来了诊断和管理的挑战.
研究的目的:
- 为了确定完全甲状腺切除术后非毒性MNG患者中隐性甲状腺癌的患病率.
主要方法:
- 在2004年至2022年期间,对271名为非有毒MNG进行全甲状腺切除术的患者进行了回顾性研究.
- 甲状腺切除样本的组织病理学检查.
- 统计分析人口统计数据,手术指示和病理学发现.
主要成果:
- 在253例MNG病例中,38例 (14.02%) 确诊了隐性甲状腺癌.
- 乳头甲状腺癌 (PTC) 是主要的类型 (93.3%).
- 18名患者 (6.64%) 同时患有MNG,哈希莫托甲状腺炎和恶性瘤.
结论:
- 在MNG中存在隐性甲状腺癌,需要进行彻底的手术前评估和术后监测.
- 警的评估和管理策略对于优化MNG病例的患者护理和结果至关重要.
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