[格雷夫斯病相关的甲状腺结节：支持手术治疗的另一个论据]
[Thyroid nodules associated with Graves' disease: another argument for surgical treatment].
作者信息
Kraimps J L, Bouin-Pineau M H, Maréchaud R, Barbier J
机构信息
Service de Chirurgie Endocrinienne, Hôpital Jean-Bernard, Poitiers.
出版信息
Chirurgie. 1997;122(8-9):488-90.
Much controversy surrounds the incidence of thyroid cancer associated with Graves' disease. We studied retrospectively 110 patients operated on for Graves' disease between 1991 and 1996. Each patient was evaluated by clinical exam, biological test, ultrasonography, and scintigraphy. No patient had a history of prior external radiation to the head or the neck. All patients underwent near total or total thyroidectomy. Nodules in the thyroid were detected in 28 cases: 6 were papillary carcinoma (5.5% from patients with Graves' disease, and 21.4% from patients with Graves' disease associated with thyroid nodules). These data suggest interest of surgery in Graves' disease associated with thyroid nodules.
与格雷夫斯病相关的甲状腺癌发病率存在诸多争议。我们回顾性研究了1991年至1996年间因格雷夫斯病接受手术的110例患者。每位患者均通过临床检查、生物学检测、超声检查和闪烁扫描进行评估。所有患者均无头部或颈部既往外照射史。所有患者均接受了近全甲状腺切除术或全甲状腺切除术。在28例患者中检测到甲状腺结节：6例为乳头状癌（格雷夫斯病患者中占5.5%，格雷夫斯病合并甲状腺结节患者中占21.4%）。这些数据表明对格雷夫斯病合并甲状腺结节进行手术是有意义的。
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