CAJ | 학술논문

目的探讨弥漫性硬化型乳头状甲状腺癌的高频声像特征及其诊断价值.方法以光镜病理所见为参照,回顾8例弥漫性硬化型乳头状甲状腺癌患者就诊时的临床和超声表现,对比分析其诊断价值.结果 8名患者平均年龄为(18.88±3.59)岁,男女比为1∶3.临床表现以双侧甲状腺肿大(8/8)和质地变硬(6/8)为主;超声影像均表现为双侧甲状腺增宽和增厚,实质回声杂乱,弥漫性沙砾样钙化,缺乏明确的肿瘤结节,可见颈部淋巴结癌转移特征.首例超声诊断为甲状腺恶性肿瘤倾向,其后7例超声均直接作出诊断.结论临床表现对弥漫性硬化型乳头状甲状腺癌的诊断价值甚微,其超声特征具有重要价值.
목적 탐토미만성경화형유두상갑상선암적고빈성상특정급기진단개치.방법 이광경병리소견위삼조,회고8례미만성경화형유두상갑상선암환자취진시적림상화초성표현,대비분석기진단개치.결과 8명환자평균년령위(18.88±3.59)세,남녀비위1∶3.림상표현이쌍측갑상선종대(8/8)화질지변경(6/8)위주;초성영상균표현위쌍측갑상선증관화증후,실질회성잡란,미만성사력양개화,결핍명학적종류결절,가견경부림파결암전이특정.수례초성진단위갑상선악성종류경향,기후7례초성균직접작출진단.결론 림상표현대미만성경화형유두상갑상선암적진단개치심미,기초성특정구유중요개치.
Objective To represent the high-resolution ultrasonic profiles of diffuse sclerosing variant of papillary thyroid carcinoma (DSVPTC) and highlight the importance of ultrasound examination for detecting this rare entity. Methods The document of clinical presentations and thyroid ultrasound imaging information leading to correct diagnosis were reviewed in association with the microscopic findings of excised thyroid specimen. Results The average age of the eight patients was (18.88 ± 3.59) years(range from 12 to 24) with a gender ratio of 2 males to 6 females. Their predominant clinical presentations were enlargement (8/8) and hardening(6/8) of the involved thyroid lobes. The ultrasound imaging features were increase in the width and thickness of involved thyroids, hypoechoic and heterogeneous internal echoes, containing multiple,diffuse,and fine hyperechoic spots but without formation of any masses, and multiple enlarged lymph nodes in the bilateral jugular chains due to cancer cell metastasis. Ultrasound diagnosis of the first case was malignant thyroid tumor, but the following consecutive 7 patients were all definitely interpreted as DSVPTC. Conclusions The clinical presentations alone is less valuable in diagnosis of DSVPTC, but the characteristic features on high-resolution ultrasonography are highly sensitive and indicative.