儿童及青少年甲状腺癌的超声特点分析  

The Ultrasonographic Features of Thyroid Carcinomas in Children and Adolescents

作　　者：朱蓓琳[1] 胡烨[1] 李洁[1] 臧亚萍[1] 王隽[1] Zhu Beilin Hu Ye Li Jie et al(Department of Ultrasound, Jiangyuan Hospital Affiliated to Jiangsu Institute of Nuclear Medicine, Wuxi, Jiangsu 214063, China)

机构地区：[1]江苏省原子医学研究所附属江苏省江原医院超声科,江苏省无锡市214063

出　　处：《中国超声医学杂志》2017年第8期679-682,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：目的回顾性分析儿童及青少年甲状腺癌的超声特征,探讨其与成人甲状腺癌的不同点。方法对35例儿童及青少年甲状腺癌患者的病灶特征进行分析。结果单叶28例(80%),中等病灶20例(57.1%),回声主要有弥漫型(8.6%,3/35)和局灶型(91.4%,32/35)两类表现,颈部淋巴结转移19例(54.3%)。与对照组对比,在病灶大小、病灶数、回声、钙化、RI、是否转移上具有差异性。结论儿童及青少年甲状腺癌具有自身特殊性而有别于成人,超声检查是其筛查和鉴别的诊断首选方法。Objective Retrospectively analyzed the ultrasonographic features of thyroid carcinomas in children and adolescents,discussing the significant difference between them and malignance in adults.Methods Analyzed the ultrasonographic features in 35 cases with malignance in children and adolescents.Results 28case（80%）were located in unilateral gland,20case（57.1%）with medium size.The echogenic were categorized into diffuse pattern（8.6%,3/35）and focal pattern（91.4%,32/35）.Cervical metastatic lymph nodes were detected in 19cases（54.3%）.Contrast with adult group,there were signifiant difference in lesion size,number of lesions,echogenicity,calcifications,resistance index and metastases.Conclusions The thyroid carcinomas in children and adolescents have specific ultrasonographic features,which were different from those of adults.

关 键 词：儿童 青少年 甲状腺癌 超声 

分 类 号：R445.1[医药卫生—影像医学与核医学] R736.1[医药卫生—诊断学]