Ignjatović M, Petrović M, Stanković N, Ignjatović D, Jevtić M, Cuk V, Mirković D
Vojnomedicinska akademija, Klinika za opstu i vaskularnu hirurgiju, Beograd.
Vojnosanit Pregl. 1995 Mar-Apr;52(2):128-34.
Sixty eight patients with toxic adenoma (TA) operated on in the period 1985-1992, were analyzed. The manifestation of hyperthyroidism in TA (in 55.88%) significantly depended on the gender of the patients (68.42% in men and 51.02% in women) and on the size of node. In nodes larger than 5 cm in diameter hyperthyroidism appeared in 76.92% of patients and in none with the nodes smaller than 2 cm. The degenerative changes in the nodes depended on pathohystological type of adenoma, and not on the size of nodes. On patohystological examination three carcinomas were found in TA, two papillary and one follicular. The surgical treatment of TA was the optimum way of treatment--the therapy of choice. Along with fast, complete and clear effects, the minimum percentage of complications (4.41%) developed that were mild and of short duration. The enucleation of nodes with capitonnage was absolutely sufficient in the operative treatment.
对1985年至1992年期间接受手术治疗的68例毒性腺瘤（TA）患者进行了分析。TA患者中甲状腺功能亢进的表现（55.88%）在很大程度上取决于患者的性别（男性为68.42%，女性为51.02%）和结节大小。直径大于5 cm的结节中，76.92%的患者出现甲状腺功能亢进，而直径小于2 cm的结节患者无一出现。结节的退行性变化取决于腺瘤的病理组织学类型，而非结节大小。病理组织学检查发现TA中有3例癌，2例乳头状癌和1例滤泡状癌。TA的手术治疗是最佳治疗方式——首选治疗方法。该治疗方法不仅疗效迅速、彻底且明确，而且并发症发生率最低（4.41%），且并发症轻微、持续时间短。手术治疗中采用带蒂摘除结节绝对足够。
