中国医科大学学报

中国医科大学学报

中国医科大学学报 ›› 2016, Vol. 45 ›› Issue (11): 1031–1034.doi: 10.12007/j.issn.0258-4646.2016.11.017

• 论著 • 上一篇    下一篇

囊实性甲状腺癌与结节性甲状腺肿囊性变的超声鉴别诊断

王延海,杨华,郭宝生   

  1. 中国医科大学附属盛京医院超声科,沈阳 110004
  • 收稿日期:2016-06-15 出版日期:2016-11-29 发布日期:2016-11-04
  • 作者简介:王延海(1972 -),女,主治医师,博士

Ultrasonography in the Differential Diagnosis of Cystic-solid Thyroid Carcinoma and Nodular Goiter

WANG Yanhai,YANG Hua,GUO Baosheng   

  1. Ultrasound Department,Shengjing Hospital,China Medical University,Shenyang 110004,China
  • Received:2016-06-15 Online:2016-11-29 Published:2016-11-04

摘要: 目的 探讨二维及彩色多普勒超声在囊实性甲状腺癌与结节性甲状腺肿囊性变鉴别诊断中的价值。方法 回顾性分析 36 例囊实性甲状腺癌与 72 例结节性甲状腺肿囊性变的超声图像特点。结果 囊实性甲状腺癌实性部分多分布于肿物一侧(偏心分布)或包绕囊性部分,多呈低回声或极低回声,多伴砂砾样钙化,血流信号多为中央型。结节性甲状腺肿实性部分多与 囊性部分交叉分布,多呈低回声、等回声,多有粗大钙化,多为混合型血流信号。结论 二维及彩色多普勒超声对囊实性甲状 腺癌及结节性甲状腺肿囊性变的鉴别诊断有一定的帮助。

关键词: 甲状腺癌, 彩色多普勒超声, 囊实性甲状腺癌, 结节性甲状腺肿

Abstract: Objective To explore the ultrasonic features of both cystic-solid thyroid carcinoma and nodular goiter,and to evaluate the role of ultrasonography in the differential diagnosis of the two diseases. Methods The ultrasonic data of 36 patients with histopathologically confirmed cystic-solid thyroid carcinoma,who were admitted to and treated in Shengjing Hospital,were retrospectively studied. 72 patients with histopathologically confirmed nodular goiter were enrolled as the control group. The pathologic results were regarded as the gold standard. The ultrasonic features of cystic-solid thyroid carcinoma and nodular goiter were analyzed and compared. Results Clear boundary solid composition,hypoechogenicity or marked hypoechogenicity,with microcalcifications and central flow pattern were more frequently associated to cystic-solid thyroid carcinoma than nodular goiter. No significant difference was observed between the boundary and shape of the solid composition. Conclusion The characteristics of solid composition facilitate the diagnosis of cystic-solid thyroid carcinoma. Ultrasound is valuable in the detection of cystic-solid thyroid carcinoma.

Key words: thyroid cancer, ultrasonography, cystic-solid thyroid carcinoma, nodular goiter

中图分类号: 

  • R730.41
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