ZHU Jingqiang , CHEN Guojing , LI Hongjiang.
  • Department of General Surgery, The First Affiliated Hospital, West China University of Medical Sciences, Chengdu 610041;
Thyroiditis Autoimmune Thyroid carcinoma Thyroidectomy
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Objective  To sum up experiences in diagnosis and treatment for Hashimoto′s disease (HD).
Methods  Clinical records of 78 patients who underwent operations and were diagnosed as Hashimoto′s disease by histologic examination in our hospital from Jan. 1988 to Dec. 1998 were analyzed.
Results  Seventy females and 8 males, aged 9 to 70 years (average of 41.6 years). HD was coexistent with 10.3% of thyroid gland malignant tumor, 23.1% of adenoma and 30.8% of other thhroid gland diseases. The misdiagnosis rate was 35.9% and missed diagnosis rate was 46.2%. The clinical feature of HD and most common cause of misdiagnosis and missed diagnosis have been discussed.
Conclusion  It is emphasized that patients with diffuse goiter, palpable nodules, lighty color on scintillation scintigraphy, elevation of antimicosomiaux and antithyroglobuline but no finding on Bus should be highly suspected of having Hashimoto′s disease.

Citation： ZHU Jingqiang,CHEN Guojing,LI Hongjiang.. EXPERIENCE IN DIAGNOSIS AND TREATMENT FOR HASHIMOTO′S DISEASE (REPORT OF 78 CASE). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2000, 7(3): 167-169. doi: Copy