CAJ | 학술논문

目的：比较分化型甲状腺癌肺转移不同诊断方法的价值。方法回顾性分析本院452例甲状腺癌中31例肺转移患者胸部CT、血清甲状腺球蛋白（Tg）、131I全身扫描（131I-WBS）及3项联合检查的诊断价值。结果31例甲状腺癌肺转移患者CT、Tg、131I-WBS及3项联合检查诊断的灵敏度、特异度、准确率分别为67.7%、89.5%、88.1%，83.9%、94.3%、93.6%，93.5%、99.8%、99.3%和100%、100%、100%。结论与CT及Tg检查相比，131I-WBS诊断分化型甲状腺癌肺转移的价值更高，但仍有漏诊，故宜联合3项检查以提高诊断准确率。
목적：비교분화형갑상선암폐전이불동진단방법적개치。방법회고성분석본원452례갑상선암중31례폐전이환자흉부CT、혈청갑상선구단백（Tg）、131I전신소묘（131I-WBS）급3항연합검사적진단개치。결과31례갑상선암폐전이환자CT、Tg、131I-WBS급3항연합검사진단적령민도、특이도、준학솔분별위67.7%、89.5%、88.1%，83.9%、94.3%、93.6%，93.5%、99.8%、99.3%화100%、100%、100%。결론여CT급Tg검사상비，131I-WBS진단분화형갑상선암폐전이적개치경고，단잉유루진，고의연합3항검사이제고진단준학솔。
Objective To investigate the diagnostic value of three methods in detecting pulmonary metastasis from differentiated thyroid cancer (DTC). Methods In our hospital, 31 cases with pulmonary metastasis from 452 patients with DTC were enrolled in this retrospective study. The diagnostic values of chest CT (CT), serum thyroglobulin (Tg), 131I whole-body scan (131I-WBS) and the combination of the three methods were analyzed. Results In 31 patients diagnosed pulmonary metastasis from DTC, the sensitivity, specificity and accuracy of CT, Tg, 131I-WBS and the combination of the three methods were 67.7%, 89.5%, 88.1%; 83.9%, 94.3%, 93.6%; 93.5%, 99.8%, 99.3%; and 100%, 100%, 100%, respectively. Conclusion Compared with CT and Tg, 131I-WBS has the highest sensitivity, specificity and accuracy in the diagnosis of pulmonary metastasis from DTC. However, there is still false missed diagnosis with 131I-WBS. The combination of the three methods is recommended in clinical application.