Hammer M, Wortsman J, Folse R
Arch Surg. 1982 Aug;117(8):1020-3. doi: 10.1001/archsurg.1982.01380320016005.
We reviewed the records of 341 patients who underwent thyroidectomy for the suspicion of cancer between 1975 and 1980. Cancer of the thyroid was found in 14% of them. Although cysts of the thyroid (pathologic finding of a fluid-filled cavity greater than 1 cm in diameter) were encountered in 35% of the patients, cysts were similarly distributed among patients with benign conditions (27%) or with cancer (33%). Most of the thyroid cysts in patients with carcinoma measured 2 to 4 cm in diameter. The cancer was found within the cystic cavity. The cysts in patients with cancer appeared to originate from necrosis of the tumor. B-mode ultrasonography was not reliable in differentiating cystic and solid lesions. The demonstration of the cystic nature of a thyroid nodule does not rule out the diagnosis of cancer of the gland.
我们回顾了1975年至1980年间因怀疑患有癌症而接受甲状腺切除术的341例患者的记录。其中14%被发现患有甲状腺癌。虽然35%的患者出现了甲状腺囊肿（病理发现为直径大于1厘米的充满液体的腔隙），但囊肿在良性疾病患者（27%）和癌症患者（33%）中的分布相似。癌患者的大多数甲状腺囊肿直径为2至4厘米。癌症在囊腔内被发现。癌症患者的囊肿似乎源于肿瘤的坏死。B型超声在区分囊性和实性病变方面不可靠。甲状腺结节囊性特征的显示并不能排除腺体癌症的诊断。
