甲状腺肿瘤的组织病理学特征--三级癌症治疗医院的一项回顾性研究

Hitesha Bhandari, Anjali Sharma, Rishikesh Dipak Nilapwar
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摘要

甲状腺病变相当常见,疾病谱广泛,包括功能性、免疫介导性和肿瘤性病变。在2019年9月至2021年2月的1年半研究期间,我院所有甲状腺切除术标本中,共有10200份活检组织送往我科进行组织病理学检查,其中7200例被诊断为恶性病例,其中408例(5.6%)为甲状腺癌(TC)病例。在408例TC病例中,有145例(35.53%)接受了甲状腺手术,符合纳入标准的50例连续病例被登记在我们的研究中。研究人员在显微镜下对所有经过毛细处理、血涂片和伊红染色的切片进行了复查和观察。TC 患者的平均年龄为 44.80 岁。女性居多,男女比例为 1.38:1。最常见的肿瘤位置是甲状腺右叶(32%),其次是左叶(26%)。恶性病变(96%)多于良性病变(4%)。甲状腺乳头状癌是最常见的恶性肿瘤(72%),其次是滤泡状癌(14%)。两例良性病例均为蔓状腺瘤(4%)。大多数肿瘤为单灶(62%),其次是多灶(38%):甲状腺肿瘤 良性和恶性病变
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Histopathological Spectrum of Thyroid Neoplasm - A Retrospective Study Done at Tertiary Cancer Care Hospital
Thyroid lesions are fairly common & have a wide spectrum of diseases ranging from functional, immune mediated to neoplastic lesions. All thyroidectomy specimens were included in the study period of 1.5 years from September 2019 to February 2021 at our institute, a total of 10,200 biopsies were sent to our department for histopathological examination, out of which 7200 were diagnosed as malignant cases, of which 408 (5.6%) cases were thyroid cancer (TC) cases. One hundred forty-five (35.53%) out of 408 TC cases underwent thyroid surgeries, fifty consecutive cases who fulfilled the inclusion criteria were registered in our study. All grossed, processed, stained sections of haematoxylin and eosin were reviewed and observed under microscope. Average age of the patients suffering from TC was found 44.80 years. Female preponderance seen with F:M-1.38:1. Most common location of tumor was Right lobe of thyroid (32%) followed by Left Lobe (26%). Malignant lesions (96%) predominated over Benign lesions (4%). Papillary carcinoma thyroid was the most common malignancy (72%) followed by Follicular carcinoma (14%). Both benign cases were of Trabaecular Adenoma (4%). Majority of tumors were Unifocal (62%) followed by Mutlifocal (38%). Keywords: Thyroid Neoplasm, Benign and Malignant lesions
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