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目的总结结节性甲状腺肿(NG)合并甲状腺癌(TC)的临床诊断治疗。方法利用B超和血清T3、T4、FT3、FT4测定,综合临床表现和生化表现,经过对NG合并TC的治疗分析。对临床356例结节性甲状腺肿行内科中西医综合治疗、外科手术、相邻淋巴切除。结果发现24例结节性甲状腺肿(NG)合并甲状腺癌(TC),平均年龄44.7岁,均>30岁,占患病总数的6.74%。结论用B超和血清T3、T4、FT3、FT4测定,结合临床表现,能极早发现结节性甲状腺肿癌变。
Objective To summarize the clinical diagnosis and treatment of nodular goiter (NG) complicated with thyroid cancer (TC). Methods B-ultrasound and serum T3, T4, FT3, FT4 determination, clinical and biochemical manifestations, after treatment of NG combined with TC analysis. Of 356 cases of clinical nodular goiter medicine comprehensive treatment of traditional Chinese and Western medicine, surgery, adjacent lymph node resection. The results showed that 24 cases of nodular goiter (NG) with thyroid cancer (TC), the average age of 44.7 years, all> 30 years old, accounting for 6.74% of the total number of cases. Conclusion B-ultrasonography and serum T3, T4, FT3, FT4 determination, combined with clinical manifestations, can very early find nodular goiter cancerous.