实用癌症杂志
實用癌癥雜誌
실용암증잡지
THE PRACTICAL JOURNAL OF CANCER
2014年
6期
651-653
,共3页
甲状腺髓样癌%超声表现%诊断价值
甲狀腺髓樣癌%超聲錶現%診斷價值
갑상선수양암%초성표현%진단개치
Medullary thyroid carcinoma%Ultrasonic presentations%Diagnostic value
目的：探讨甲状腺髓样癌的超声特点及超声检查对其的诊断价值。方法回顾性分析甲状腺髓样癌并行甲状腺超声检查的47例患者的54个恶性结节，总结其超声特点，评价超声检查对甲状腺髓样癌的诊断价值。结果47例甲状腺髓样癌患者中，散发性病例34例，占72．3％；发生颈部淋巴结转移患者19例，占40．4％。在54个恶性结节中，发生在甲状腺中上极36个，占66．7％；超声检查呈低回声39个，占72．2％；有血流分布48个，占88．9％；41个无囊性病变，占75．9％；30个有钙化灶，占55．6％；47个L/A≤1，占87．0％；46个形状规则，呈圆形或椭圆形，占85．2％。结节超声检查诊断为可疑恶性结节37个，诊断准确性68．5％。淋巴结超声检查，可疑淋巴结转移13例，诊断准确率为68．4％。结论甲状腺髓样癌有相对特异性的超声表现，部分典型结节可以通过超声直接诊断，但还有一些病例的确诊需要结合其他辅助检查方法。
目的：探討甲狀腺髓樣癌的超聲特點及超聲檢查對其的診斷價值。方法迴顧性分析甲狀腺髓樣癌併行甲狀腺超聲檢查的47例患者的54箇噁性結節，總結其超聲特點，評價超聲檢查對甲狀腺髓樣癌的診斷價值。結果47例甲狀腺髓樣癌患者中，散髮性病例34例，佔72．3％；髮生頸部淋巴結轉移患者19例，佔40．4％。在54箇噁性結節中，髮生在甲狀腺中上極36箇，佔66．7％；超聲檢查呈低迴聲39箇，佔72．2％；有血流分佈48箇，佔88．9％；41箇無囊性病變，佔75．9％；30箇有鈣化竈，佔55．6％；47箇L/A≤1，佔87．0％；46箇形狀規則，呈圓形或橢圓形，佔85．2％。結節超聲檢查診斷為可疑噁性結節37箇，診斷準確性68．5％。淋巴結超聲檢查，可疑淋巴結轉移13例，診斷準確率為68．4％。結論甲狀腺髓樣癌有相對特異性的超聲錶現，部分典型結節可以通過超聲直接診斷，但還有一些病例的確診需要結閤其他輔助檢查方法。
목적：탐토갑상선수양암적초성특점급초성검사대기적진단개치。방법회고성분석갑상선수양암병행갑상선초성검사적47례환자적54개악성결절，총결기초성특점，평개초성검사대갑상선수양암적진단개치。결과47례갑상선수양암환자중，산발성병례34례，점72．3％；발생경부림파결전이환자19례，점40．4％。재54개악성결절중，발생재갑상선중상겁36개，점66．7％；초성검사정저회성39개，점72．2％；유혈류분포48개，점88．9％；41개무낭성병변，점75．9％；30개유개화조，점55．6％；47개L/A≤1，점87．0％；46개형상규칙，정원형혹타원형，점85．2％。결절초성검사진단위가의악성결절37개，진단준학성68．5％。림파결초성검사，가의림파결전이13례，진단준학솔위68．4％。결론갑상선수양암유상대특이성적초성표현，부분전형결절가이통과초성직접진단，단환유일사병례적학진수요결합기타보조검사방법。
Objective To investigate the characteristics of medullary thyroid carcinoma on ultrasonography and the diag -nostic value of ultrasonic examination .Methods Clinical data of 54 malignant nodules in 47 patients diagnosed as medullary thy-roid carcinoma on ultrasonography were retrospectively analyzed .The characteristics of medullary thyroid carcinoma on ultrasonog-raphy were reviewed and the diagnostic value of ultrasonic examination for medullary thyroid carcinoma was evaluated .Results In the 47 patients with medullary thyroid carcinoma ,there were 34 sporadic cases (72.3%),and 19 cases with cervical lymph node metastases (40.4%).In the 54 malignant nodules,there were 36 cases at the middle and upper pole of thyroid (66.7%), 39 hypoechoic cases (72.2%),48 cases with blood distribution (88.9%),41 cases without cystic leisions (75.9%),30 cases with calcification (55.6%),47 cases with L/A≤1 (87.0%),46 cases with circular or oval shape (85.2%).37 malignant nod-ules were determined on ultrasonography with a diagnostic accuracy of 68.5%.13 metastatic lymph nodes were determined with a diagnostic accuracy of 68.4%.Conclusion Medullary thyroid carcinoma has relatively specific ultrasonic presentations .Some typical nodes can be directly diagnosed by ultrasonography while others should be diagnosed together with other assistant examina -tions.
