CAJ | 학술논문

目的研究甲状腺隐匿癌的声像图特点,为临床诊治提供有效依据.方法收集资料完整的甲状腺隐匿癌63例,对肿块特点结合病理学诊断进行对照分析研究.结果资料显示甲状腺隐匿癌与增生结节或良性肿瘤共存,增生结节或良性肿瘤发生后可以部分癌变,癌变可以从微小的局部发展至很大的肿块.超声提示甲状腺恶性肿块27例均为实质性回声伴钙化点,硬度偏硬,提示错误的11例内部等回声或低回声分布均匀和25例囊实混合回声硬度一般或软.结论彩超能检出甲状腺微小肿块,作出有价值的诊断.且与其他影像学诊断相比具有一定的优势,因此作者认为超声对甲状腺诊断是首选.
목적 연구갑상선은닉암적성상도특점,위림상진치제공유효의거.방법 수집자료완정적갑상선은닉암63례,대종괴특점결합병이학진단진행대조분석연구.결과 자료현시갑상선은닉암여증생결절혹량성종류공존,증생결절혹량성종류발생후가이부분암변,암변가이종미소적국부발전지흔대적종괴.초성제시갑상선악성종괴27례균위실질성회성반개화점,경도편경,제시착오적11례내부등회성혹저회성분포균균화25례낭실혼합회성경도일반혹연.결론 채초능검출갑상선미소종괴,작출유개치적진단.차여기타영상학진단상비구유일정적우세,인차작자인위초성대갑상선진단시수선.
Objective The ultrasound characteristics of thyroid microcarcinoma were studied to find the effective basis of its diagnosis and treatment.Methods 63 cases of thyroid microcarcinoma with complete data were enrolled.The characteristics of thyroid microcarcinoma were studied and compared with pathology.Results Study showed that both microcarcinoma and proliferation node or benign tumor may coexisit in thyroid.Both proliferation node and benign tumor can lead to cancer.The slight local cancer can develop into large masses.27 cases with thyroid malignant tumor diagnosed by ultrasound were the masses with solid echoes,microcalcification and the hardness,but 11 cases with well-distributed isoecho or hypo-echo and 25 cases with mixed-echo and general or soft hardness.Conclusions Ultrasound can detect out the micro-mass of thyroid,and conclude effective diagnosis.Compared with CT and MRI,ultrasound has advantages.Therefore it is the first choice in diagnosing the thyroid.