CAJ | 학술논문

目的：探讨桥本甲状腺炎（HT）合并甲状腺乳头状癌（PTC）的临床特点及超声表现特征。方法回顾性分析HT合并PTC患者37例、单纯PTC患者34例、结节样桥本甲状腺炎(NHT)患者36例临床特点及超声图像特征，采用SPSS 16.0软件统计分析。结果三组结节在形态、边界及CDFI特征方面差异无统计学意义（P＞0.05）。HT合并PTC组微小结节71.4%，高于其他两组（47.5%，44.7%），有统计学差异（P＜0.05）。HT合并PTC与单纯PTC组在钙化方面无明显差异，两组钙化比例相对NHT组均高，微小钙化相对较多。结论 HT合并PTC与单纯PTC及NHT组相比结节在形态、边界及CDFI特征方面差异无统计学意义。HT合并PTC结节相对较小。结节内微小钙化提示甲状腺癌的风险相对较大。
목적：탐토교본갑상선염（HT）합병갑상선유두상암（PTC）적림상특점급초성표현특정。방법회고성분석HT합병PTC환자37례、단순PTC환자34례、결절양교본갑상선염(NHT)환자36례림상특점급초성도상특정，채용SPSS 16.0연건통계분석。결과삼조결절재형태、변계급CDFI특정방면차이무통계학의의（P＞0.05）。HT합병PTC조미소결절71.4%，고우기타량조（47.5%，44.7%），유통계학차이（P＜0.05）。HT합병PTC여단순PTC조재개화방면무명현차이，량조개화비례상대NHT조균고，미소개화상대교다。결론 HT합병PTC여단순PTC급NHT조상비결절재형태、변계급CDFI특정방면차이무통계학의의。HT합병PTC결절상대교소。결절내미소개화제시갑상선암적풍험상대교대。
Objective To discuss the clinical and ultrasonographic features of papillary thyroid carcinoma (PTC) under the background of Hashimoto’s thyroiditis (HT).Methods The clinical and ultrasongraphic features of cancer nodes in a cohort of 37 cases were retrospectively viewed and the differences of these ultrasonographic features compared with NHT and PTC were analyzed by means of SPSS 16.0 statistical software. Results In the HT with PTC group.The proportion of small nodes was 71.4%.which was obviously higher than the PTC group(47.5%)and the NHT group (44.7%).The proportion of small microcalcifications was higher than NHT group,but was similer with the PTC group.The attributes of cancer nodes in terms of shape,boundary and CDFI had no statistic differences in three groups (P>0.05).Conclusion PTC under the HT background is common,the cancer nodes are offen small.The small microcalcifications are helpful for the diagnose of PTC under the HT background.