本文就本院近10年来收治的678例甲状腺结节性病变作了临床分析,其中腺瘤占甲状腺疾病的65.6％,腺癌占17.3％。同时对甲状腺肿瘤发病率的地区性差别和甲状腺胶性结节瘤样变和真性肿瘤的关系进行讨论,认为非流行地区的甲状腺结节性病变绝大部分是真性肿瘤,而非胶性结节的“瘤样变”。此外,本文对甲状腺结节性病变性质之鉴别,以及处理原则提出了看法。 This article made a clinical analysis of 678 cases of thyroid nodular lesions treated in this hospital in the past 10 years. Among them, adenomas accounted for 65.6% of thyroid diseases, and adenocarcinomas accounted for 17.3%. At the same time, we discussed the regional differences in the incidence of thyroid tumors and the relationship between thyroid nodular neoplasia and true tumors. We believe that the majority of thyroid nodular lesions in non-endemic areas are true tumors, but not gelatinous nodules. The “tumor-like changes.” In addition, this article puts forward the views on the identification of the nature of thyroid nodular lesions and the principle of treatment.