CAJ | 학술논문

目的研究甲状腺滤泡癌和髓样癌的彩超表现及其鉴别诊断价值.方法回顾性分析我院收治的47例甲状腺滤泡癌和51例髓样癌病例资料,对比研究其彩超表现和病理特征.结果女性滤泡癌例数占男女总例数比高于髓样癌(P＜0.05)；髓样癌比滤泡癌更易发生淋巴结转移(P＜0.05)；滤泡癌多表现为边界清楚且内部多无钙化灶,髓样癌多表现为边界不清楚且内部多有钙化灶(P＜0.05)；两种类型癌变的血供表现也有差异(P＜0.05).结论通过分析彩超表现发现,其对鉴别诊断甲状腺滤泡癌和髓样癌有一定意义,两种类型有较大差异,有助于确定治疗方案.
목적 연구갑상선려포암화수양암적채초표현급기감별진단개치.방법 회고성분석아원수치적47례갑상선려포암화51례수양암병례자료,대비연구기채초표현화병리특정.결과 녀성려포암례수점남녀총례수비고우수양암(P＜0.05)；수양암비려포암경역발생림파결전이(P＜0.05)；려포암다표현위변계청초차내부다무개화조,수양암다표현위변계불청초차내부다유개화조(P＜0.05)；량충류형암변적혈공표현야유차이(P＜0.05).결론 통과분석채초표현발현,기대감별진단갑상선려포암화수양암유일정의의,량충류형유교대차이,유조우학정치료방안.
Objective To study the appearance of follicular thyroid carcinoma (FTC) and medullary thyroid carcinoma (MTC) on color ultrasound and the value of differential diagnosis of ultrasound.Methods The data on 41 patients with FTC and 51 patients with MTC lesions were analyzed retrospectively.The ultrasound appearance and pathological features of these two types of cancer were compared.Results Follicular carcinoma had a higher incidence rate than medullary carcinoma in female (P＜0.05).Medullary carcinoma was easier to occur lymph node metastasis than follicular carcinoma (P＜0.05).Most of ollicular carcinomas had clear surroundings without interior calcification,while medullary carcinoma had unclear surroundings with internal calcification (P＜0.05).Blood supply to cancerous tissues also differed between the two types of cancer (P＜0.05).Conclusions Color ultrasound appearance is of significance in the differential diagnosis of follicular thyroid carcinoma and medullary thyroid carcinoma,which is helpful in the establishment of therapeutic regimens.