中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
18期
23-25
,共3页
甲状腺%嗜酸细胞肿瘤%超声表现
甲狀腺%嗜痠細胞腫瘤%超聲錶現
갑상선%기산세포종류%초성표현
Thyroid%Hurthle cell neoplasm%Sonographic features
目的 提高甲状腺嗜酸细胞肿瘤的超声图像认识.方法 回顾性分析病理确诊的10例(共13个病灶)甲状腺嗜酸性细胞肿瘤超声图像,总结其声像图特点.结果 肿瘤单发8例,多发2例.12个(92％)病灶位于右叶甲状腺.病灶大小0.6～5.2 cm,平均3.12 cm.实性9个(69％),囊实性或囊性4个(31％).良性11个(85％),恶性2个(15％).形态规整8个(62％),边界清晰9个(69％),周边可见声晕6个(46％),表现为高低不等的不均匀混合回声9个(69％),周边及内部血供丰富11个(85％).边界不清及出现钙化者警惕恶性可能.结论 尽管上述超声特征对甲状腺嗜酸细胞肿瘤无特异性,但对有上述超声表现的甲状腺结节,应提示嗜酸细胞肿瘤可能.
目的 提高甲狀腺嗜痠細胞腫瘤的超聲圖像認識.方法 迴顧性分析病理確診的10例(共13箇病竈)甲狀腺嗜痠性細胞腫瘤超聲圖像,總結其聲像圖特點.結果 腫瘤單髮8例,多髮2例.12箇(92％)病竈位于右葉甲狀腺.病竈大小0.6～5.2 cm,平均3.12 cm.實性9箇(69％),囊實性或囊性4箇(31％).良性11箇(85％),噁性2箇(15％).形態規整8箇(62％),邊界清晰9箇(69％),週邊可見聲暈6箇(46％),錶現為高低不等的不均勻混閤迴聲9箇(69％),週邊及內部血供豐富11箇(85％).邊界不清及齣現鈣化者警惕噁性可能.結論 儘管上述超聲特徵對甲狀腺嗜痠細胞腫瘤無特異性,但對有上述超聲錶現的甲狀腺結節,應提示嗜痠細胞腫瘤可能.
목적 제고갑상선기산세포종류적초성도상인식.방법 회고성분석병리학진적10례(공13개병조)갑상선기산성세포종류초성도상,총결기성상도특점.결과 종류단발8례,다발2례.12개(92％)병조위우우협갑상선.병조대소0.6～5.2 cm,평균3.12 cm.실성9개(69％),낭실성혹낭성4개(31％).량성11개(85％),악성2개(15％).형태규정8개(62％),변계청석9개(69％),주변가견성훈6개(46％),표현위고저불등적불균균혼합회성9개(69％),주변급내부혈공봉부11개(85％).변계불청급출현개화자경척악성가능.결론 진관상술초성특정대갑상선기산세포종류무특이성,단대유상술초성표현적갑상선결절,응제시기산세포종류가능.
Objective To describe the sonographic features of Hurthle cell neoplasm (HCN) of the thyroid.Methods This retrospective study included 10 cases (13 tumors) of pathologically proven HCN who underwent preoperative sonographic examinations,sonographic features were evaluated.Results Eight cases were single and 2 cases were multiple and 12 tumors(92％) were in the right lobe.The longest diameter of HCNs ranged from 0.6 to 5.2 cm(mean 3.12 cm).Nine tumors(69％) were solid and 4 tumors(31％) contained cystic components.Eleven tumors (85％) were benign,2 tumors(15％) were malign.Eight tumors(62％) were regular,9 tumors(69％) had a clear margin and 6 tumors(46％)were with a integrity or percentage halo sign.The echogenicity of 9 tumors (69％) were hypoechoic,isoechoic,hyperechoic,or mixed.Plenty blood flow inside and/or around the tumor were detected in 11 tumors (85 ％).An unclear margin and coarse calcifications maybe predict a malign character.Conclusions Although many of the sonographic appearance we have observed were nonspecific,thyroid lesions with signs above perhaps raises the possibility of an HCN.
