摘要
目的:探讨甲状腺癌的超声表现及其组织病理学基础。方法:对51例甲状腺癌患者76个结节的高频超声声像图及病理进行回顾性分析。结果:76个结节中,呈低回声者51例,混合性回声15例,偏强回声10例,伴砂粒样钙化48例,15例患者伴颈部淋巴结转移。病理分型:乳头状癌41例,滤泡状癌22例,乳头合并滤泡状癌9例,髓样癌3例,未分化癌1例。结论:甲状腺癌的超声表现具有一定特征性,当甲状腺内出现不均质低回声肿块且伴有砂粒样钙化,同时伴有同侧颈部淋巴结肿大时,要警惕甲状腺癌的可能。
Objective：To study the rehfionship between the ultrasonography of thyroid carcinoma and its pathoiogic tissue structure. Methods：76 cases of thyroid carcinoma with high-frequency sonography were reviewed, analyzed and compared with the pathologic changes.Results：Among 76 nodules, 51 had hypoechoic texture, 15 mixed echoic texture and 10 hyperechoic texture. Forty-eight of 76 nodules accompanied with discrete particles representative of calcifications. Thyroid carcinomas with lymph nodes of neck metastasis were found in 15 patients. Pathology types： there were 41 papillary carcinoma, 22 follicular carcinoma, 9 papillary with follicular carcinoma, 3 medullary eareinoma, 1 nondifferentiated carcinoma. Conclusion： These data suggest that ultrasonography in thyroid carcinoma was usually having some certain characteristics. We should be caution of thyroid carcinoma when the ultrasonographic texture of thyroid showed heterogeneous hypoechoie with discrete particles representative of calcifications, and combined with lymph node of neck enlargement.
出处
《医学影像学杂志》
2008年第4期402-404,共3页
Journal of Medical Imaging
关键词
甲状腺癌
病理学
超声检查
Thyroid carcinoma
Pathology
Ultrasonography
