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桥本氏病(淋巴细胞性甲状腺炎)的发病率在不断地上升,一般认为这是一种自身免疫性疾病,并与癌肿有关系。作者收集60例经病理确诊为桥本氏病者,发现其中5例伴有腺瘤(8.3%),2例伴有乳头状癌(3.3%),3例伴有淋巴瘤(5%),总计桥本氏病中,其它甲状腺疾病的发病率达16.6%。桥本氏病可经病史分析、体检和甲状腺功能测定作出诊断。近来,发现桥本氏病中,有对甲状腺球蛋白、非甲状腺球蛋白肢体、甲状腺细胞微粒体和核成份所产生的自身抗体,虽然可以帮助诊断,但是甲状腺癌也有此抗体,故不能用作鉴别。
The incidence of Hashimoto’s disease (lymphocytic thyroiditis) is constantly rising and is generally considered to be an autoimmune disease and is associated with cancer. The authors collected 60 pathologically confirmed Hashimoto’s disease patients and found 5 of them with adenoma (8.3%), 2 with papillary carcinoma (3.3%), 3 with lymphoma (5%), In total Hashimoto’s disease, the incidence of other thyroid diseases reached 16.6%. Hashimoto’s disease can be based on medical history, physical examination and thyroid function tests to make a diagnosis. Recently, Hashimoto’s disease was found to have autoantibodies to thyroglobulin, non-thyroglobulin limbs, thyroid cell microsomes and nuclear components, which can help diagnose thyroid cancer but can not be used as Identification.