高频超声在甲状腺微小癌中的诊断价值  

Diagnostic value of high frequency ultrasound on thyroid micro carcinoma

作　　者：陆玲芳[1] 杨仲坤[1] 孙静[1] 

机构地区：[1]上海复旦大学附属中山医院青浦分院超声科,上海201700

出　　处：《中国当代医药》2012年第12期78-79,共2页China Modern Medicine

摘　　要：目的探讨早期无体征甲状腺微癌的超声表现与诊断。方法应用高频超声对33例患者42个癌结节的超声表现进行回顾性分析。结果本组41个癌结节病理均为乳头状癌。单叶单发20例、双侧叶3例(共7个病灶)、单叶多发癌结节3例(2个病灶2例,3个病灶1例)、另有7例微癌与其他甲状腺病变并存。诊断明确26例,误诊7例,超声检出率为78.8%,误诊率为21.2%。结论高频超声对无体征甲状腺微癌的诊断具有重要的实用价值。Objective To discuss ultrasonic manifestation and diagnosis of thyroid micro carcinoma without early symptoms.Methods Using high frequency ultrasound to retrospectively analyze ultrasonic manifestation in 33 patients with 42 cancer nodules.Results Forty-one cancer nodules of the group were papillary carcinoma approved by pathology.Twenty cases were simple single;Three cases（the total number of lesions were seven in these cases） were bilateral lobes;Three cases（two cases with two lesions,one case with three lesions） were simple multiple;and seven other cases approved micro carcinoma also had other thyroid diseases.Twenty-six cases were clearly diagnosed.Seven cases were misdiagnosed.The rate of ultrasound detection was 78.8% and the rate of ultrasound misdiagnosis was 21.2%.Conclusion High frequency ultrasound had important practical value on diagnosis of thyroid micro carcinoma without symptoms.

关 键 词：高频超声 诊断 甲状腺微癌 价值 

分 类 号：R445.1[医药卫生—影像医学与核医学]