Wey W
HNO. 1979 May;27(5):150-5.
The otorhinolaryngologist often encounters patients with pathological findings in the thyroid gland which may be overlooked if he is not aware. Alarming symptoms are rarely present in a goiter which is undergoing malignant change. Papillary and follicular carcinomas can exist over long periods of time as nodular goiters with globus symptoms or are discovered after cervical lymph nodes have appeared. The discovery of a goiter is thus of clinical importance regardless of the patient's age. Diagnostic iodine isotope scanning and cytological analysis is to be recommended as a matter of general policy. Excellent results in the treatment of papillary carcinoma can be obtained by subtotal thyroidectomy with modified neck dissection, followed by isotope elimination of remaining thyroid tissue.
耳鼻喉科医生经常会遇到甲状腺有病理发现的患者，如果他没有意识到，这些发现可能会被忽视。正在发生恶变的甲状腺肿很少出现警示症状。乳头状癌和滤泡状癌可以长时间以伴有咽部异物感症状的结节性甲状腺肿形式存在，或者在颈部淋巴结出现后才被发现。因此，无论患者年龄如何，甲状腺肿的发现都具有临床重要性。一般来说，建议进行诊断性碘同位素扫描和细胞学分析。通过甲状腺次全切除术加改良颈部淋巴结清扫术，然后用同位素消除剩余甲状腺组织，可以在乳头状癌的治疗中取得优异的效果。
