超声诊断甲状腺癌67例分析

    The role of ultrasound in clinical diagnostic value of thyroid cancer: a report of 67 cases

    • 摘要: 目的:探讨二维和彩色多普勒超声诊断甲状腺癌的价值。方法:对经病理证实的67例(共72个结节)甲状腺癌的声像图表现进行回顾性分析,观察病灶形态、边界、包膜、内部回声、有无钙化、结节内部及周边血流分布以及淋巴结转移情况。结果:67例共72个结节中,内回声表现为实质性回声66个(其中低回声59个,等回声6个,高回声1个),混合性回声6个;结节中出现砂砾样钙化24个;结节外形不规则,边界不清晰,包膜不完整30个;结节周边及内部出现血流信号65个;淋巴结转移29例。结论:甲状腺癌的超声表现有很高的特异性,超声检查对甲状腺癌的早期诊断具有较大价值,能为临床的手术治疗提供重要依据,并可以给患者的预后及术后随访提供帮助。

       

      Abstract: Objective: To study the value of two-dimensional and color Doppler ultrasound in the diagnosis of thyroid cancer.Methods: A retrospective analysis of 67 cases (a total of 72 nodules) of thyroid cancer was summarized,including their ultrasonographic images,border,capsule,internal echo,calcification,the characteristics of blood flows within and around the tumors and lymph node metastasis.Results: In 67 cases (72 nodules),66 cases with internal echo were showed with substantial echo (including 59 low-echo,6 iso-echo,1 high-echo),6 mixed echo;24 sand-like calcified nodules;nodular irregular in shape,the border was not clear;30 with incomplete capsule;65 with nodular peripheral and internal flow signals;29 with lymph node metastasis.Conclusions: Sonographic features of thyroid cancer has a high specificity,ultrasonography has a great value on early diagnosis of thyroid cancer,and it can provide an important clinical basis for surgical treatment,and it is useful for prognosis and following up.

       

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