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淺談甲狀腺腫瘤

Brief Discussion of the Thyroid Tumor

摘要


甲狀腺腫瘤是常見病、多發病,其中絕大多數是良性腺瘤,少數為癌及罕見肉瘤。大多好發於青年及中年人,且女性多於男性。現代醫學對甲狀腺腫瘤的病因研究至今尚未完全明瞭,大多認為與遺傳、內分泌、化學物質、放射線及地理環境等因素有關。依照腫瘤的生物學特徵,分為乳頭狀腺癌、濾泡狀腺癌、髓樣癌和未分化癌四型。中醫學認為本病屬“瘿瘤"範疇,其中甲狀腺腫瘤相當於“肉瘿"而甲狀腺癌相當於“石瘿"。瘿病腫塊較局限而柔韌者,稱為肉瘿。本病的發生主要由於七情不和,憂思鬱怒,痰濁凝結而成及山區、高原地帶,因水質過偏,久居致生本病。瘿瘤的辨證以肝鬱、虛火、痠毒及氣虛為主,但又不脫瘀化有形而成瘤體之賞。

並列摘要


The thyroid tumor is a common and multiple episode disease. Most of the disease is benign adenoma, and the minority is malignant cancer and rare sarcoma. It is often occurred in teenagers and middle-aged people, and occurrence in women exceed men. The etiology of thyroid tumor is still not clear in modem medicine study so far. Mostly it is considered to be caused by heredity, endocrine, chemical substance, radiation and geographical environment etc. According to the biological characteristics of tumor, it is divided into papillary adenocarcinoma, follicular adenocarcinoma, medullar carcinoma and anaplastic cancer. In Chinese Medicine this disease is belonged to the category of ”Thyrophyma”. Among them, the thyroid tumor is equivalent to ”flesh goiter”, and the thyroid carcinoma is equivalent to ”stone goiter”. The soft and limited tumor mass is called flesh goiter. The cause of this disease includes incompatible seven human emotions, anxiety and depression, and coagulation of turbid phlegm, and long-term inhabitancy in in the mountainous area and plateau with poor water quality. The syndromes of thyrophyma mainly includes the liver depression, vacuity heat, malicious phlegm and vacuity qi, however it also includes the transformation of goiter mass due to blood stagnation.

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