摘要
以往认为甲状腺功能亢进症(甲亢)很少甚至不合并甲状腺癌,近年来研究发现甲亢伴结节患者发生甲状腺癌的风险增加,甲状腺癌与甲亢早期密切相关,但结果间存在较大差异,因此有必要明确两者之间的关系,为临床诊断和治疗提供依据。尽管手术治疗为首选,但选取何种术式仍没有统一,甲状腺全切术既能根治甲亢又能有效治疗甲状腺癌,而针对部分碘难治性分化型甲状腺癌,靶向药物为其提供了新的思路。中医药治疗亦有效弥补了现代医学手段的不足,可很好地发挥辅助作用。
The occurrence of thyroid malignancy was considered a rare event in hyperthyroid patients.Recent studies have found an increased risk of thyroid cancer in patients of hyperthyroidism with thyroid nodules.Thyroid cancer is closely related to the early period of hyperthyroidism.However there were significant differences among the results.In order to provide the basis forclinical diagnosis and treatment it is necessary to clarify the relationship between hyperthyroidism and thyroid cancer. Although surgery is the preferred treatment there is still no consensus on the choice of surgical approach.We believe that total thyroidectomy can not only cure hyperthyroidism but also effectively treat thyroid cancer.And targeted drug treatment provides a new method for some radioactive iodine refractory differentiated thyroid cancer.The traditional Chinese meclicine therapy plays a supplementary role to make up for the lack of medicine.
作者
陈继东
欧阳文奇
张李
方菲
CHEN Jidong;OUYANG Wenqi;ZHANG Li;FANG Fei(Thyroid Diseases Center of Hubei Hospital of TCM, Chen Ruquan's Studio for Luheritance of TCM Famous Reteran Doctors, Huber University of Chinese Medicine, Wuhan 430061, China)
出处
《医药导报》
CAS
北大核心
2019年第5期550-554,共5页
Herald of Medicine
基金
湖北省技术创新专项重大项目(2017ACA166)
