钙化灶在颈部结核性淋巴结与甲状腺乳头状癌转移性淋巴结中的超声特征  

Ultrasonographic Differentiation of Calcification Between Cervical Tuberculous Lymphadenitis and Cervical Lymph Nodes Metastasis of Papillary Thyroid Carcinoma

作　　者：孟君[1] 杨高怡[1] 闻波平[1] 邵亚勤[1] 赵丹[1] 蒋慧青[1] 

机构地区：[1]杭州市红十字会医院超声科,杭州市310003

出　　处：《中国超声医学杂志》2015年第6期487-489,共3页Chinese Journal of Ultrasound in Medicine

基　　金：杭州市医药卫生计划项目(No.2010B0028);杭州市科技计划引导项目(社会发展)(No.11);杭州市科技发展计划项目(No.20120633B10);浙江省医药卫生一般研究计划项目(No.2014KYA183)

摘　　要：目的观察分析钙化灶在颈部结核性淋巴结与甲状腺乳头状癌转移性淋巴结的超声特征。方法回顾性分析经手术病理证实的41个颈部结核性淋巴结与38个甲状腺乳头状癌转移性淋巴结的钙化灶超声表现,对两组淋巴结钙化灶的大小、多少及分布情况进行对比。结果颈部结核性淋巴结的钙化灶多呈粗钙化(≥2mm),以分布于淋巴结中央区域为主;甲状腺乳头状癌转移性淋巴结的钙化灶多呈微钙化(<2mm),以淋巴结周边区域为主,两组间差异有统计学意义(P<0.05)。结论颈部结核性淋巴结与甲状腺乳头状癌转移性淋巴结钙化灶具有不同的特征,为两者的鉴别诊断提供客观、可靠的诊断依据。Objective To assess the usefulness of ultrasonography in the calcification of cervical tuberculous lymphadenitis versus lymph nodes metastasis of papillary thyroid carcinoma.Methods Ultrasonographic findings of size,number and distribution these were retrospectively analyzed:41were cervical tuberculous lymphadenitis,and 38 were cervical lymph nodes metastatic of papillary thyroid carcinoma confirmed pathologically.Results Ultrasonographic features specific to cervical tuberculous lymphadenitis were calcifications.microcalcifications was the ultrasound features of metastatic cervical lymph nodes of patients with papillary thyoid carcinoma.Conclusions Calcification evaluation of cervical lymph nodes can be useful in the differential diagnosis of cervical tuberculous lymohadenitis versus lymph nodes metastatic of papillary thyroid carcinoma.

关 键 词：结核 甲状腺乳头状癌 转移 淋巴结 超声 钙化 

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]