海南医学
海南醫學
해남의학
HAINAN MEDICAL JOURNAL
2014年
11期
1624-1626,1627
,共4页
王东侠%舒艳艳%韩志江%徐锦华
王東俠%舒豔豔%韓誌江%徐錦華
왕동협%서염염%한지강%서금화
部分囊变结节%部分囊变乳头状癌%囊性乳头状癌%甲状腺结节%体层摄影术%X线计算机
部分囊變結節%部分囊變乳頭狀癌%囊性乳頭狀癌%甲狀腺結節%體層攝影術%X線計算機
부분낭변결절%부분낭변유두상암%낭성유두상암%갑상선결절%체층섭영술%X선계산궤
Partially cystic nodule%Partially cystic papillary carcinoma%Cystic papillary carcinoma%Thyroid nodule%X-ray computed tomography
目的：探讨甲状腺部分囊性乳头状癌（Partially cystic papillary carcinoma，PCPC）与部分囊性结节性甲状腺肿(partially cystic nodular goiter, PCNG)的CT鉴别诊断。方法回顾分析经组织学证实的8例8枚PCPC和26例27枚PCNG的CT资料，观察结节内微钙化、乳头状结构、结节形态、壁结节数目及形态在PCPC和PCNG中的分布，统计微钙化、乳头状结构、结节形态不规则、单发壁结节对PCPC诊断的敏感性、特异性、阳性预测值和准确度。结果微钙化、乳头状结构、结节形态不规则及单发壁结节均好发于PCPC中(P<0.05)，其敏感性分别为75%、75%、75%、100%，特异性分别为100%、70.4%、95.6%、88.9%，阳性预测值分别为100%、42.9%、75.0%、72.3%，准确度分别为94.3%、71.4%、88.6%、91.4%。3枚弧形钙化均见于PCNG中。结论结节内微钙化、乳头状结构、结节形态不规则、单发壁结节等对PCPC的诊断具有重要价值，而形态规则、多发壁结节/环状或半环状壁结节、弧状钙化有助于PCNG的诊断。
目的：探討甲狀腺部分囊性乳頭狀癌（Partially cystic papillary carcinoma，PCPC）與部分囊性結節性甲狀腺腫(partially cystic nodular goiter, PCNG)的CT鑒彆診斷。方法迴顧分析經組織學證實的8例8枚PCPC和26例27枚PCNG的CT資料，觀察結節內微鈣化、乳頭狀結構、結節形態、壁結節數目及形態在PCPC和PCNG中的分佈，統計微鈣化、乳頭狀結構、結節形態不規則、單髮壁結節對PCPC診斷的敏感性、特異性、暘性預測值和準確度。結果微鈣化、乳頭狀結構、結節形態不規則及單髮壁結節均好髮于PCPC中(P<0.05)，其敏感性分彆為75%、75%、75%、100%，特異性分彆為100%、70.4%、95.6%、88.9%，暘性預測值分彆為100%、42.9%、75.0%、72.3%，準確度分彆為94.3%、71.4%、88.6%、91.4%。3枚弧形鈣化均見于PCNG中。結論結節內微鈣化、乳頭狀結構、結節形態不規則、單髮壁結節等對PCPC的診斷具有重要價值，而形態規則、多髮壁結節/環狀或半環狀壁結節、弧狀鈣化有助于PCNG的診斷。
목적：탐토갑상선부분낭성유두상암（Partially cystic papillary carcinoma，PCPC）여부분낭성결절성갑상선종(partially cystic nodular goiter, PCNG)적CT감별진단。방법회고분석경조직학증실적8례8매PCPC화26례27매PCNG적CT자료，관찰결절내미개화、유두상결구、결절형태、벽결절수목급형태재PCPC화PCNG중적분포，통계미개화、유두상결구、결절형태불규칙、단발벽결절대PCPC진단적민감성、특이성、양성예측치화준학도。결과미개화、유두상결구、결절형태불규칙급단발벽결절균호발우PCPC중(P<0.05)，기민감성분별위75%、75%、75%、100%，특이성분별위100%、70.4%、95.6%、88.9%，양성예측치분별위100%、42.9%、75.0%、72.3%，준학도분별위94.3%、71.4%、88.6%、91.4%。3매호형개화균견우PCNG중。결론결절내미개화、유두상결구、결절형태불규칙、단발벽결절등대PCPC적진단구유중요개치，이형태규칙、다발벽결절/배상혹반배상벽결절、호상개화유조우PCNG적진단。
Objective To assess the value of computed tomgraphy in determining the nature of partially cys-tic papillary thyroid carcinoma (PCPC) and partially cystic nodular goiter (PCNG). Methods CT data of 8 lesions from 8 patients with PCPC and 27 lesions from 26 patients with PCNG were retrospectively analyzed, and all of the patients had pathology diagnosis. The distribution of microcalcifications, papillary structures, nodule shape, number and shape of wall nodule in PCPC and PCNG were observed. And the sensitivity, specificity, positive predictive value and accuracy of microcalcifications, papillary structures, irregular shape, single wall nodule for the diagnosis of PCPC were analysed. Results Microcalcifications, papillary structures, irregular shape and single wall nodule were more common in PCPC, and the sensitivities were 75%, 75%, 75%and 100%, respectively, and the specificities were 100%, 70.4%, 95.6%and 88.9%, respectively, and the positive predictive values were 100%, 42.9%, 75.0%and 72.3%, re-spectively, and the accuracies were 94.3%, 71.4%, 88.6% and 91.4%,respctively. 3 leisions with arc calcifications were found in PCNG. Conclusions Microcalcifications, papillary structures, irregular shape, single wall nodule are important for the diagnosis of PCPC, and regular shape, multiple wall nodule/annular wall nodule or half-annular wall nodule and arc calcifications are helpful for the diagnosis of PCNG.
