“花瓣样”钙化特征诊断甲状腺癌  

Petal-Like Calcification in Diagnosis of Thyroid Carcinoma

作　　者：韩月健 杨稀月[1] 许杨[1] 黄丽芳 朱家慧 Han Yuejian;Yang Xiyue;Xu Yang;Huang Lifang;Zhu Jiahui(Department of Ultrasound,Guigang People's Hospital,Guigang,Guangxi 537100,China;Department of Pathology,Guigang People's Hospital,Guigang,Guangxi 537100,China)

机构地区：[1]贵港市人民医院超声科,广西贵港市537100 [2]贵港市人民医院病理科,广西贵港市537100

出　　处：《中国超声医学杂志》2023年第9期1064-1066,共3页Chinese Journal of Ultrasound in Medicine

基　　金：贵港市自筹经费科技计划项目(No.贵科攻2200023)。

摘　　要：目的探讨“花瓣样”钙化诊断甲状腺癌的价值。方法回顾性分析12例具有“花瓣样”钙化特征的甲状腺结节,对其组织病理学特征进行总结归纳。结果12例具有“花瓣样”钙化的甲状腺结节均为甲状腺乳头状癌(PTC)。10例患者(83.33%)发生颈部淋巴结转移。8个(66.67%)结节内见沙粒体。结论“花瓣样”钙化是诊断PTC的特异度征象,此类结节具有高侵袭性,可能与沙粒体的高出现率有关,应引起重视。Objective To explore the diagnostic value of“petal-like”calcification in thyroid carcinoma.Methods 12 thyroid nodules with“petal like”calcification were retrospectively analyzed and summarized.Results All 12 thyroid nodules with“petal-like”calcification were papillary thyroid carcinoma(PTC).Cervical lymph node metastasis occurred in 10 patients(83.33%).Psammoma bodies were found in 8 nodules(66.67%).Conclusions“Petal-like”calcification is a specific ultrasound sign of PTC.Nodules with“Petal-like”calcification are associated with aggressive biology behavior,which may be related to high incidence of psammoma bodies.High attention should be paid when dealing with this type of nodules.

关 键 词：超声 “花瓣样”钙化 甲状腺癌 沙粒体 甲状腺结节 

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]