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目的总结分析容易误诊为甲状腺肿瘤的甲状腺炎病例的临床特点。方法回顾性分析我科2009~2012年期间19例误诊为甲状腺肿瘤病例的临床资料。结果 19例患者全部经历手术,术后8例确诊为慢性淋巴细胞性甲状腺炎,10例确诊为亚急性甲状腺炎,1例为化脓性甲状腺炎。手术术式根据术中病理及病情而有不同,亚急性甲状腺炎患者多予以活检术,慢性淋巴细胞性甲状腺炎多予以峡部切开或楔形切除术。结论非典型甲状腺炎与甲状腺肿瘤的鉴别有时相当困难,但只要其具有非肿瘤特点时临床医师应高度重视,综合判断,可降低误诊率。
Objective To summarize and analyze the clinical features of thyroiditis cases easily misdiagnosed as thyroid tumors. Methods The clinical data of 19 cases misdiagnosed as thyroid tumors from 2009 to 2012 in our department were retrospectively analyzed. Results All the 19 patients underwent surgery. Eight patients were diagnosed as chronic lymphocytic thyroiditis after surgery, 10 were diagnosed as subacute thyroiditis, and one was purulent thyroiditis. Surgical procedures based on intraoperative pathology and disease are different, subacute thyroiditis patients were biopsy, chronic lymphocytic thyroiditis to be more than the isthmus or wedge resection. Conclusion Atypical thyroiditis and thyroid tumors sometimes quite difficult to identify, but as long as it has non-tumor features clinicians should attach great importance to comprehensive judgments can reduce the misdiagnosis rate.