Groussin P, Brizon J, Planiol T, Benatre A, Renard J P, Chavanne D, Beuzelin J
Sem Hop. 1980;56(5-6):221-3.
An analytical study of 320 case reports of patients with one or more thyroid nodules, 246 of whom had been operated upon, revealed the presence of 32 cancers, 15 toxic nodules, and 195 inactive benign uni- or multilobular goitres. Complementary examinations (scintigraphy with technetium, thermography, ultrasonography) cannot definitely establish the benign nature of a nodule. As long as cytological examination after needle biopsy, which requires the services of a highly specialised cytologist, will not become a routine procedure, histological examination is essential for correct diagnosis. Any nodule should be excised, therefore, and the thyroid explored completely.
对320例有一个或多个甲状腺结节患者的病例报告进行分析研究,其中246例接受了手术,结果发现有32例癌症、15例毒性结节和195例无活性良性单叶或多叶甲状腺肿。辅助检查(锝闪烁扫描、热成像、超声检查)不能明确确定结节的良性性质。只要需要高度专业的细胞学家服务的针吸活检后的细胞学检查不能成为常规程序,组织学检查对于正确诊断就至关重要。因此,任何结节都应切除,并对甲状腺进行全面探查。