合并桥本氏甲状腺炎的甲状腺癌外科治疗.

Objective To investigate the clinical characteristics and surgical strategies of papillary thyroid carcinoma(PTC) combined with Hashimoto 's thyroiditis(HT) . Methods The retrospective study was performed in 82 patients of PTC with HT patients among 334 PTC patients. Results The results showed that all patients underwent surgical treatment. According to the patient's condition，we performed glandular and isthmus resection， total or near total resection and different range of cervical lymph node dissection. The postoperative pathology confirmed as PTC. Compared with the PTC group， the female in PTC+HT group's cervical lymph node negative ratio was significantly increased， and the maximum diameter of the lesion was significantly reduced(all P<0.05) . The rate of transient hypocalcemia was significantly higher in PTC+HT group than that in the PTC group (P<0.01) . Conclusions PTC combined with HT is more common in women. HT may have a certain inhibitory effect on the invasion of PTC primary tumor and lymph node metastasis. Surgery in PTC+HT may have higher incidence of complications which should be paid more attention to. [ABSTRACT FROM AUTHOR]