Holmes H B, Kreutner A, O'Brien P H
Surg Gynecol Obstet. 1977 Jun;144(6):887-90.
The experience of the Medical University of South Carolina with Hashimoto's thyroiditis revealed an 8.3 per cent incidence of carcinoma. The most common type of carcinoma was an associated lymphoma. There was an additional 8.3 per cent incidence of a benign adenoma. Needle biopsy as a mechanism for diagnosing Hashimoto's disease, we believe, is inaccurate. A larger aliquot of tissue should be removed for the pathologist if there is a suspicion of an associated tumor. An open biopsy permits the pathologist to make an accurate diagnosis with a minimal amount of morbidity.
南卡罗来纳医科大学对桥本甲状腺炎的研究发现，其癌变发生率为8.3%。最常见的癌变类型是相关淋巴瘤。良性腺瘤的发生率额外还有8.3%。我们认为，针吸活检作为诊断桥本氏病的手段并不准确。如果怀疑有相关肿瘤，应切取更大的组织样本供病理学家检查。开放性活检能让病理学家在发病率最低的情况下做出准确诊断。
