摘要
目的探讨甲状腺癌CT影像学特征与临床病理的关系。方法回顾性分析我院2014年1月至2015年10月收治的42例行根治性肿瘤切除术的甲状腺癌患者的临床资料,对CT影像学特征和手术病理结果进行比较。结果 CT影像学检查共有40例原发病灶,32例密度不均匀,30例形态不规则,28例边缘模糊,19例钙化,25例肿瘤侵犯周围器官;手术病理检查结果显示18例乳头状癌、15例未分化癌、6例滤泡状癌、3例髓样癌,22例出现肿瘤侵犯周围器官;CT影像学检查准确度88.10%~95.24%,灵敏度75.00%~93.75%,特异度91.30%~100.00%。结论甲状腺癌CT影像学特征和临床病理存在一定关系;CT在组织结构浸润检查中准确度、灵敏度和特异度均较高,值得临床推广应用。
Objective Tu explore the relationship between CT imaging features and clinical pathology of thyroid carcinoma. Methods The clinical data of 42 eases of patients with thyroid careinoma treated in our hospital from Jaunuary 2014 to October 2015 were analyzed retrospectively. All patients underwent CT imaging before operation. The CT imaging features and surgical pathology resuhs were eompared and analyzed, and the relationship between the two groups was studied. Results CT imaging showed a total of 40 cases of primary lesions, 32 cases of uneven density, 30 cases of invgular shape, 28 eases of edge blur, 19 cases of caleifieation, 25 cases of tumor invasion of the summnding organs, and the surgical pathology results showed a total of 18 eases of papillary carcinoma, 15 cases of undifferentiated carcinona, 6 cases of follieular emrinoma, 3 cases of medullary carcinoma, 22 eases of tumor invasion of the summnding organs. The accuracy of CT imaging was 88.10%-95.24%, and the sensitivity was 75.00%-93.75%, and the specificity was 91.30%-100.00%. Conclusion The CT imaging features of th3nx）id carinoma and its elink.al pathology are related. CT has high accuracy, sensitivity and specificity in the invasive examination of tissue structvare, which is worthy of cliniel application.
出处
《中国医科大学学报》
CAS
CSCD
北大核心
2017年第2期165-168,共4页
Journal of China Medical University
关键词
甲状腺癌
CT影像学特征
临床病理
thyroid earcinoma
CT imaging features
clinical pathology
