医学临床研究
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医学临床研究  2019, Vol. 36 Issue (3): 442-444    DOI: 10.3969/j.issn.1671-7171.2019.03.009
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不同亚型甲状腺微小乳头状癌患者的临床病理特点
董晓峰1, 杨聪颖2
1.连云港市中医院病理科,江苏 连云港 222004;
2.连云港市第一人民医院病理科,江苏 连云港 222004
Analysis of Clinicopathological Features of Different Subtypes of Papillary Thyroid Micro Carcinoma
DONG Xiao-feng, YANG Cong-ying
Department of Pathology,The Hospital of Lianyungang Traditional Chinese Medicine, Lianyungang 222004, China
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摘要 【目的】探讨不同亚型甲状腺微小乳头状癌(PTMC)患者的临床病理特点。【方法】选择2010年1月至2018年3月在本院接受治疗的不同亚型PTMC患者367例,比较不同亚型病灶大小、有无钙化和腺外微浸润、是否合并桥本甲状腺炎及淋巴结转移情况。单因素和多因素分析PTMC患者淋巴结转移的影响因素。【结果】所有患者中,柱状细胞亚型166例,占45.2%;滤泡亚型152例,占41.4%;其他亚型共49例,分别为包膜内亚型35例, Warthin瘤样亚型8例,嗜酸亚型1例,小梁亚型1例,高细胞亚型4例。滤泡亚型的病灶直径最大;其他亚型钙化率最高且无腺外浸润;柱状细胞亚型的淋巴结转移率要明显高于滤泡亚型及其他亚型。多因素Logistic回归分析显示:男性、年龄小于50岁、病灶钙化及腺外浸润是PTMC淋巴结转移的独立危险因素。【结论】PTMC以柱状细胞亚型和滤泡亚型为主,不同亚型的临床病理特点有所不同,以滤泡亚型的病灶直径最大。男性、年龄小于50岁、病灶钙化及腺外浸润是PTMC淋巴结转移的独立危险因素。
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董晓峰
杨聪颖
Abstract:【Objective】To explore the clinicopathological features of patients with different subtypes of papillary thyroid micro carcinoma (PTMC). 【Methods】A total of 367 patients with different subtypes of PTMC who were treated in our hospital from January 2010 to March 2018 were enrolled. The patients were observed for lesion size, calcification, extra-glandular microinfiltration, lymph node metastasis and Hashimoto's thyroiditis. Univariate and multivariate logistic regression analysis evaluated the influencing factors of lymph node metastasis in patients with PTMC. 【Results】Among all patients, there were 166 cases of columnar cell subtype PTMC, accounting for 45.2%; 152 cases of follicular subtype PTMC, accounting for 41.4%; 49 cases of other subtypes, containing 35 cases of intracapsular subtype, 8 cases of Warthin tumor-like subtype, 1 case of acidophilic subtype, 1 case of trabecular subtype and 4 cases of high cell subtype PTMC. Follicular subtype PTMC had the largest lesion diameter. Other subtypes of PTMC had the highest calcification rate and no extra-glandular infiltration. The lymph node metastasis rate of columnar cell subtype PTMC patients was significantly higher than that of follicular subtypes and other subtypes. Multivariate logistic regression analysis showed that males, younger than 50 years old, lesion calcification and extra-glandular infiltration were independent risk factors for PTMC lymph node metastasis. 【Conclusion】PTMC is mainly composed of columnar cell subtypes and follicular subtypes. The clinicopathological characteristics of PTMC in different subtypes are varied. Being male, age less than 50 years old, lesion calcification and extra-glandular infiltration are independent risk factors for PTMC lymph node metastasis.
收稿日期: 2018-09-26     
PACS:  R  
引用本文:   
董晓峰, 杨聪颖. 不同亚型甲状腺微小乳头状癌患者的临床病理特点[J]. 医学临床研究, 2019, 36(3): 442-444.
DONG Xiao-feng, YANG Cong-ying. Analysis of Clinicopathological Features of Different Subtypes of Papillary Thyroid Micro Carcinoma. JOURNAL OF CLINICAL RESEARCH, 2019, 36(3): 442-444.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2019.03.009     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2019/V36/I3/442
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