Haid A, Zimmermann G, Fritzsche H, Kargl M, de Meijer R, Gruber U
Abteilung für Chirurgie, Landeskrankenhaus Feldkirch.
Chirurg. 1989 Jan;60(1):39-43.
The simultaneous occurrence of hyperthyroidism and differentiated carcinoma of the thyroid gland is more frequent than previously assumed. In our endemic goiter region 16.5% of patients with thyroid carcinoma have hyperthyroidism and 1.8% of patients with hyperthyroidism have a thyroid carcinoma. The tumors are predominantly located in autonomous adenomas but are also found in cold nodules. Not only scintigraphically cold nodules but also warm and hot nodules must be suspected of malignancy. Consistent preoperative cytodiagnosis of all goiter nodules, including hot nodules, is therefore recommended. Surgical treatment of toxic multi-nodular goiters should be considered more often.
甲状腺功能亢进症与分化型甲状腺癌同时出现的情况比之前认为的更为常见。在我们的地方性甲状腺肿地区，16.5%的甲状腺癌患者患有甲状腺功能亢进症，而1.8%的甲状腺功能亢进症患者患有甲状腺癌。肿瘤主要位于自主性腺瘤中，但也见于冷结节。不仅闪烁扫描显示的冷结节，温结节和热结节也必须怀疑有恶性可能。因此，建议对所有甲状腺肿结节，包括热结节，进行一致的术前细胞诊断。毒性多结节性甲状腺肿的手术治疗应更常被考虑。
