中国普外基础与临床杂志

中国普外基础与临床杂志

原发性甲状腺淋巴瘤的诊治进展

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目的 探讨原发性甲状腺淋巴瘤的诊断与治疗进展。 方法 通过阅读近几年国内外的原发性甲状腺淋巴瘤相关文献,对其诊断与治疗进展进行归纳总结。 结果 原发性甲状腺淋巴瘤的发病与桥本甲状腺炎等慢性炎症的刺激相关,术前诊断主要依靠超声引导下的穿刺活检,治疗方式主要取决于其病理学类型及肿瘤分期。手术切除主要用于病理活检及解除压迫症状,放疗及化疗是其主要的治疗方式。 结论 原发性甲状腺淋巴瘤是一种比较罕见的甲状腺恶性肿瘤,熟悉并了解其临床病理学特征,对于术前诊断、明确其病理学类型和分期,以及选择合理的治疗措施,均具有重要的指导意义。

Objective To investigate the diagnosis and treatment of primary thyroid lymphoma. Methods Through reading of relevant literatures at home and abroad in recent years, the diagnosis and treatment progress of primary thyroid lymphoma were summarized. Results The pathogenesis of primary thyroid lymphoma was associated with chronic inflammatory stimuli such as Hashimoto's thyroiditis. Its preoperative diagnosis mainly relied on ultrasound-guided biopsy. The treatment depended mainly on its pathological type and tumor stage. Surgical resection was mainly used for pathological biopsy and relieving compression symptoms, and radiotherapy and chemotherapy were the main treatments. Conclusions Primary thyroid lymphoma is a rare thyroid malignancy. Being familiar with and understands its clinicopathological features has important guiding significance for preoperative diagnosis, clear pathological type and staging, and selection of reasonable treatment measures.

关键词: 原发性甲状腺淋巴瘤; 桥本甲状腺炎; 诊断与治疗; 综述

Key words: primary thyroid lymphoma; Hashimoto thyroiditis; diagnosis and treatment; review

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