甲状腺微小乳头状癌的超声特征与颈部淋巴结转移的关系  

Correlation between sonographic features of papillary thyroid microcarcinoma and cervical lymph node metastasis

作　　者：王文涵[1] 詹维伟[1] 徐上妍[1] 张晓晓[1] 李蕾[2] 

机构地区：[1]上海交通大学医学院附属瑞金医院超声科,200025 [2]上海交通大学医学院附属瑞金医院病理科,200025

出　　处：《中华超声影像学杂志》2014年第3期231-234,共4页Chinese Journal of Ultrasonography

摘　　要：目的探讨甲状腺微小乳头状癌的超声特征与颈部淋巴结转移的关系。方法选取经手术病理证实的341例甲状腺微小乳头状癌患者，分为颈部淋巴结转移组94例和非转移组247例。回顾性分析并比较两组结节的术前超声图像特征。采用单因素和多因素分析甲状腺微微小乳头状癌颈部淋巴结转移的相关因素。结果单因素分析显示结节边界、微钙化及多灶间的差异有统计学意义（P均〈0．05）。多因素分析显示微钙化和多灶间的差异有统计学意义（P均〈0．05）。结论甲状腺微小乳头状癌微钙化和多灶与颈部淋巴结转移相关，有助于临床诊断和治疗。Objective To evaluate the correlation between sonographic features of papillary thyroid microcarcinoma（PTMC） and cervical lymph node metastasis. Methods Preoperative sonographic features of 379 papillary thyroid microcarcinoma in 341 patients were retrospectively reviewed, and were divided into two groups,lymph node metastasis and lymph node non-metastasis according to pathology. Univariate and multivariate analyses were performed to analyze the sonographic features relevant to lymph node metastasis. Results Univariate analysis revealed that unclear border, microcalcification and multifocal PTMC were statistically significant（all P d0.05）. Multivariate analysis revealed that microcaleification and multifocal PTMC were statistically significant （both P d0.05）. Conclusions Microcaleification and multifocal PTMC are closely relevant to cervical lymph node metastasis.

关 键 词：超声检查 甲状腺肿瘤 淋巴转移 

分 类 号：R736.1[医药卫生—肿瘤] R445.1[医药卫生—临床医学]