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目的分析儿童甲状腺肿块的临床特征及病理分型,指导临床诊治。方法对23例儿童甲状腺肿块的临床表现、实验室及病理资料进行分析。结果 23例甲状腺肿块中,恶性16例,其中乳头状癌14例,滤泡癌和小细胞倾向肿瘤细胞各1例;良性肿块6例;急性化脓性甲状腺炎1例。结论儿童单发甲状腺肿块中,有50%~71%为癌。儿童甲状腺癌往往表现为单侧无痛性肿块,结合B超监测和ECT(发射单光子计算机断层扫描仪)检查,以及相关实验室检查,争取早诊断和早治疗。
Objective To analyze the clinical features and pathological classification of children with thyroid mass and to guide clinical diagnosis and treatment. Methods The clinical manifestations, laboratory and pathological data of 23 cases of children with thyroid mass were analyzed. Results Of the 23 cases with thyroid mass, 16 were malignant, including 14 cases of papillary carcinoma, 1 case of follicular carcinoma and small cell predominance of tumor cells, 6 cases of benign tumor and 1 case of acute suppurative thyroiditis. Conclusion Children with solitary thyroid mass, 50% to 71% of the cancer. Thyroid cancer in children often presents as unilateral painless mass, combined with B-monitoring and ECT (emission single photon computed tomography) examination, and related laboratory tests for early diagnosis and early treatment.