CAJ | 학술논문

目的：探讨微钙化在甲状腺癌高频声像图中的诊断意义。方法收集经手术和病理证实的41例甲状腺癌伴微钙化患者的超声声像图资料,回顾分析其在高频超声声像图中的表现形式,总结微钙化对于甲状腺癌的诊断意义。结果41例甲状腺癌伴微钙化超声表现分为散在点状微钙化型、簇状微钙化型、弥漫微钙化型。散在点状微钙化型30例,28例无颈部淋巴结转移,2例伴同侧颈部淋巴结转移。簇状微钙化型8例,无颈部淋巴结转移。弥漫微钙化型3例,1例伴同侧淋巴结转移。结论甲状腺结节内微钙化的早期检出及准确诊断,能有效的提高高频超声对于甲状腺癌的诊断准确率。
목적：탐토미개화재갑상선암고빈성상도중적진단의의。방법수집경수술화병리증실적41례갑상선암반미개화환자적초성성상도자료,회고분석기재고빈초성성상도중적표현형식,총결미개화대우갑상선암적진단의의。결과41례갑상선암반미개화초성표현분위산재점상미개화형、족상미개화형、미만미개화형。산재점상미개화형30례,28례무경부림파결전이,2례반동측경부림파결전이。족상미개화형8례,무경부림파결전이。미만미개화형3례,1례반동측림파결전이。결론갑상선결절내미개화적조기검출급준학진단,능유효적제고고빈초성대우갑상선암적진단준학솔。
Objective To investigate the diagnostic significance of calcification in thyroid carcinoma in ultrasonography. Methods 41 cases of thyroid carcinoma confirmed by operation and pathology in patients with micro calcification sonographic data, retrospective analysis of the ultrasonographic manifestation of the summa-ry, micro calcification for diagnosis of thyroid cancer by ultrasonography. Results of 41 cases of thyroid carcinoma with micro calcification sonographic findings into punctate calcification type, cluster micro calcification type, diffuse calcification type. Punctate calcification in 30 cases ultrasonographic features of thyroid nodule in-ternal hypoechoic with scattered spotty hyperechoic, 28 cases without lymph node metastasis, 2 cases with ipsilateral cervical lymph node metastasis. 8 cases of clus-tered microcalcifications type showed local hypoechoic thyroid gland with multiple punctate calcification, without cervical lymph node metastasis. Diffuse calcification type in 3 cases of thyroid nodule in diffuse punctate hyperechoic, 1 cases with ipsilateral lymph node metastasis. Conclusion thyroid nodules in the micro calcification detection and diagnosis of early, can effectively improve the accuracy of diagnosis of thyroid carcinoma.