Pogorzelski A, Gotkowska K, Domka W
Oddziału Otolaryngologicznego Szpitala Wojewódzkiego Nr 1, Rzeszowie.
Otolaryngol Pol. 1995;49 Suppl 20:179-83.
From 1992 to 1994 23 patients with tumor or nodular goiter of thyroid gland have been treated in Otolaryngology Department of County Hospital No 1 in Rzeszów, Poland. Histology examination has revealed malignant tumors in 5 (21.7%) cases: papillary carcinoma in 3 cases and follicular carcinoma in 2 cases. Based on own material and references authors present the model of diagnostic course in case of single or multiple nodules of thyroid gland. Physical examination, ultrasonography, thyroid hormone levels, fine-needle biopsy, nuclear scan and intrasurgery pathology examination in case of malignancy suspicion have been taken into consideration. Treatment of thyroid gland tumors requires cooperation otolaryngology, endocrinology, oncology and surgery specialties. In a case of thyroid carcinoma radical surgery must be followed by radiotherapy with using radioactive iodine and/or external radiotherapy.
1992年至1994年期间,波兰热舒夫市第一县医院耳鼻喉科对23例甲状腺肿瘤或结节性甲状腺肿患者进行了治疗。组织学检查发现5例(21.7%)为恶性肿瘤:3例为乳头状癌,2例为滤泡状癌。基于自身材料和参考文献,作者提出了甲状腺单发或多发结节的诊断流程模型。已考虑进行体格检查、超声检查、甲状腺激素水平检测、细针穿刺活检、核扫描以及在怀疑为恶性的情况下进行术中病理检查。甲状腺肿瘤的治疗需要耳鼻喉科、内分泌科、肿瘤科和外科专业的协作。对于甲状腺癌患者,根治性手术后必须进行放射性碘放疗和/或外部放疗。