甲状腺滤泡状腺瘤的超声诊断与鉴别诊断  

Ultrasonographic diagnosis and differential diagnosis of thyroid follicular adenoma

作　　者：王刚[1] 杨超[1] 李大强[1] 李燕[1] 关云[1] 陈文彭 潘海洋[1] 崔岱[2] 

机构地区：[1]江苏省徐州市肿瘤医院超声科,221005 [2]南京医科大学第一附属医院超声科,210029

出　　处：《重庆医学》2015年第26期3625-3627,共3页Chongqing medicine

基　　金：国家自然科学基金资助项目(30800416)

摘　　要：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。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 macroealcifications and peripheral calcifications, homogeneous echo structure. Conclusion The uhrasonographic examination can provide the better diagnosis and differentiation diagnosis on thyroid follicular carcinoma.

关 键 词：甲状腺肿瘤 滤泡性 腺瘤 超声表现 

分 类 号：R736.1[医药卫生—肿瘤]