Xu S, Wang P, Yu Z
Second Affiliated Hospital, Zhejiang University, Hangzhou 310009, China.
Zhonghua Yi Xue Za Zhi. 2000 Apr;80(4):278-9.
To study the relation diagnosis and treatment of Hashimoto's disease (HD) with thyroid carcinoma (TC).
The relation diagnosis and surgical treatment of 150 cases of HD including 15 cases of TC were analyzed.
The coexistent rate of HD with TC was 10%. The 15 cases were all women, with a mean age of 36.5 years, and they were surgically treated. Follow-up for 4 months to 19 years showed that the 15 cases were alive without recurrence.
Surgical treatment is indicated for patients with HD associated with TC. The essential factors for diagnosis and rational treatment are a detailed understanding of clinical feature, routine examination of serum antibodies, B-ultrasonic examination and selective FNAC.
研究桥本氏病（HD）与甲状腺癌（TC）的关系及诊治方法。
分析150例HD患者（其中15例合并TC）的诊断及手术治疗情况。
HD合并TC的发生率为10%。15例均为女性，平均年龄36.5岁，均接受了手术治疗。随访4个月至19年，15例均存活且无复发。
HD合并TC患者需行手术治疗。详细了解临床特征、血清抗体常规检查、B超检查及选择性细针穿刺抽吸活检（FNAC）是诊断及合理治疗的关键因素。
