儿童及青少年甲状腺癌的超声声像分析  

The ultrasound diagnosis of thyroid carcinoma in children and teenagers

作　　者：李素娟[1] 邓学东[2] 武心萍[1] Li Sujuan;Deng Xuedong;Wu Xinping(Department of Ultrasound, Jiang Su Province Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing 210028, China;Center of Medical Ultrasound, Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Suzhou 215002, China)

机构地区：[1]江苏省中西医结合医院超声科,210028 [2]南京医科大学附属苏州医院苏州市立医院超声中心,215002

出　　处：《中华医学超声杂志（电子版）》2019年第3期202-206,共5页Chinese Journal of Medical Ultrasound(Electronic Edition)

摘　　要：目的分析儿童及青少年甲状腺癌超声声像图表现。方法选取2012年1月至2017年5月在江苏省中西医结合医院超声检查发现并经手术病理检查证实为甲状腺癌的儿童及青少年患者66例,分析儿童及青少年甲状腺癌超声声像图特征。结果术前超声显示:66例儿童及青少年患者中检出结节型甲状腺病灶56例(84.8%,56/66),伴微小钙化47例(83.9%,47/56),"毛刺状"改变44例(78.6%,44/56),边界不清晰37例(66.1%,37/56),颈部异常淋巴结14例(25.0%,14/56);另检出弥漫型甲状腺病灶10例(15.2%,10/66),伴微小钙化10例(100%,10/10);颈部淋巴结呈低回声,提示淋巴结转移7例(70.0%,7/10)。手术病理诊断:甲状腺乳头状癌64例(97.0%,64/66,包括10例弥漫硬化型乳头状癌),滤泡癌2例。结论超声早期诊断可对儿童及青少年甲状腺癌患者外科手术方式的选择及临床治疗提供有价值的诊断信息。Objective To analyze ultrasonographic features of thyroid carcinoma in childhood and adolescents. Methods In this study, the ultrasonographic features of 66 cases of children and adolescents who were diagnosed as thyroid carcinoma in the Department of Ultrasound of Jiang Su Province Hospital of Integrated Traditional Chinese and Western Medicine from January 2012 to May 2017 were retrospectively analyzed. All the thyroid nodules were confirmed by pathology. Results The results of preoperative ultrasound showed that in 66 cases of pediatric thyroid cancer, there were 56 cases of nodular type (55/66, 84.8%), 47 cases of microcalcification (47/56, 83.9%), 44 cases of irregular contour (44/56, 78.6%), 37 cases of unclear boundary (37/56, 66.1%), 14 cases of cervical lymph node metastasis (14/56, 25%). In 10 cases of diffuse type (15.2%, 10/66), there were 10 cases of microcalcification (10/10, 100%), 7 cases of hypoechoic cervical lymph node metastasis (7/10, 70%). Pathology confirmed 64 cases of papillary thyroid carcinoma (including 10 cases of diffuse sclerosing variant papillary carcinoma of thyroid) and 2 cases of follicular carcinoma. Conclusion Early diagnosis of ultrasound can provide valuable diagnostic information for the choice of surgical procedures and treatment for the patients.

关 键 词：超声检查 甲状腺肿瘤 儿童 青少年 

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]