甲状腺乳头状癌超声特征与病理结果对比分析  

Comparison between the ultrasonographic features and pathological results of thyroid papillary carcinoma

作　　者：甘科红[1] 丛淑珍[1] 李康[1] 陈青[1] 冯占武[1] 

机构地区：[1]广东省医学科学院广东省人民医院超声科,广州市510080

出　　处：《实用医学杂志》2011年第11期1988-1990,共3页The Journal of Practical Medicine

基　　金：广东省科技计划项目(编号:20101096)

摘　　要：目的:探讨甲状腺乳头状癌(PTC)超声特征,提高超声诊断的准确率。方法:回顾性分析112例经手术证实的PTC超声声像图表现,总结PTC声像图特征。结果:112例超声声像图中,89.0%(106/119)表现为低回声实性结节;51.2%(61/119)形态不规则,边界模糊;73.1%(87/119)不伴周边晕环;26.9%(32/119)伴周边晕环,其中84.3%(27/32)声晕不完整;30.2%(36/119)纵/横比>1;58.8%(70/119)结节内见微小钙化;47.8%(57/119)颈部探及肿大淋巴结,其中71.9%(41/57)诊断为淋巴结转移;86.5%(103/119)超声弹性成像评分≥3分。结论:PTC具有特征性声像图表现,认识这些特征有助于提高PTC的超声诊断准确率。Objective To explore the uhrasonographic features of thyroid papillary carcinoma （PTC）, and to improve the accuracy of ultrasonic diagnosis for PTC. Methods The uhrasonographic performances of 112 patients with PTC, which were confirmed by pathology, were retrospectively analyzed, and the ultrasonographic features of PTC were summarized. Results Of the 112 cases, 89.0% （106/119） with low echo-level solid nodules; 51.2% （61/119） with irregular shape and fuzzy boundary; 73.1% （87/119） without peripheral halo ring; 26.9% （32/119） with periphera halo ring, and of these 32 cases, 84.3% （27/32） with incomplete peripheral halo ring; 30.2% （36/119） with a ratio 〉 1 in longitudinal/breadth; 58.8% （70/119） with microcalcification in nodules; 47.8% （57/119） with swelling lymph nodes in neck, and of these 57 cases, 71.9%（41/57） were confirmed lymph node metastasis; 86.5% （103/119） with a elasticity score ≥3. Conclusions There are characteristic ultrasonographic performances of PTC, and understanding these characteristics is helpful in improving the diagnostic accuracy for PTC.

关 键 词：甲状腺肿瘤 超声 病理 

分 类 号：R736.1[医药卫生—肿瘤]