超声诊断甲状腺乳头状癌57例分析

    Ultrasonography diagnosis of papillary thyroid carcinoma:a report of 57 cases

    • 摘要: 目的: 探讨超声检查对甲状腺乳头状癌(papillary thyroid carcinoma,PTC)的诊断价值。方法: 对术前诊断为甲状腺占位并经病理证实的57例PTC患者的超声图像及血流情况进行回顾性分析。结果: 超声图像表现为甲状腺实质内低回声结节47例,囊实性结节10例;形态不规则、无包膜50例,结节内可见微钙化34例;内部血供较丰富或血流形态紊乱41例。术前超声诊断与术后病理诊断符合48例,符合率为84.21%。结论: 超声检查对PTC的诊断具有较大的临床意义,能为临床早期诊断和手术治疗提供有价值的参考依据。

       

      Abstract: Objective: To assess the value of ultrasonography in diagnosis of papillary thyroid carcinoma (PTC). Methods: The ultrasonography and color Dopple's flowmeter image features of 57 cases of PTC diagnosed before surgery and proved by histopathology were analyzed retrospectively. Results: The ultrasound images revealed that 47 of the cases had hypoechoic nodules in the parenchyma of the thyroid and 10 had solid and cystic nodules; 50 cases presented irregular shape and no capsule, 34 cases nodular microcalcification and 41 cases rich internal blood supply or blood flow disturbance. Forty-eight cases preoperative ultrasonography in the diagnosis and postoperative diagnosis accord,compliance rate was 84.21%. Conclusions: Ultrasonographic features that can provide useful information for early diagnosis and surgical therapy,that are of great value in management of PTC.

       

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