CAJ | 학술논문

目的：探讨甲状腺滤泡状腺瘤的超声学影像特征，以对其进行正确诊断及鉴别诊断。方法回顾性分析经手术病理证实的64例甲状腺滤泡状腺瘤的临床及超声学影像资料，分析肿瘤的最大直径、肿瘤结节数量、回声高低、外周声晕(晕环)、回声均匀性和钙化等超声声像图特征，并对误诊原因进行探讨。结果肿块主要为实性或囊实混合性回声、无晕环或薄壁晕环、高回声或等回声、内部粗大钙化及外周钙化、回声结构均匀等为甲状腺滤泡状腺瘤的超声学影像特征。结论超声检查可较好地对甲状腺滤泡状腺瘤进行诊断及鉴别诊断。
목적：탐토갑상선려포상선류적초성학영상특정，이대기진행정학진단급감별진단。방법회고성분석경수술병리증실적64례갑상선려포상선류적림상급초성학영상자료，분석종류적최대직경、종류결절수량、회성고저、외주성훈(훈배)、회성균균성화개화등초성성상도특정，병대오진원인진행탐토。결과종괴주요위실성혹낭실혼합성회성、무훈배혹박벽훈배、고회성혹등회성、내부조대개화급외주개화、회성결구균균등위갑상선려포상선류적초성학영상특정。결론초성검사가교호지대갑상선려포상선류진행진단급감별진단。
Objective To investigate the ultrasonic imaging features of thyroid follicular adenoma for conducting the correct diagnosis and differentiation diagnosis.Methods The clinical and imaging data in 64 cases of pathologically proven thyroid follicular adenoma were analyzed on the maximal diameter of tumor,nodularity number,high and low echogenicity,peripheral halo,echo hom-ogeneity,calcifications,and so on.The misdiagnosis causes were investigated.Results The mass was mainly solid or cystic-solid mixed echo.The ultrasonic imaging features of thyroid follicular adenoma were non-peripheral halo or thin wall halo,hyperecho or isoecho,internal macrocalcifications and peripheral calcifications,homogeneous echo structure.Conclusion The ultrasonographic examination can provide the better diagnosis and differentiation diagnosis on thyroid follicular carcinoma.