摘要
目的通过分析甲状腺髓样癌(MTC)的超声表现,研究超声对MTC的诊断价值,以提高超声对MTC的诊断水平。方法回顾性分析2013年10月~2018年10月潍坊市人民医院经手术病理证实的33例甲状腺髓样癌,收集同期44例甲状腺乳头状癌(PTC)及47例良性结节作为对照,对比分析3组结节的声像图特点。结果与PTC相比,MTC在边界、形态、纵横比、钙化、内部血流、是否淋巴结转移之间的差异有显著性(P<0.05)。与良性结节相比,MTC在内部回声、钙化、内部血流、淋巴结转移之间的差异有显著性(P<0.05)。结论大部分MTC具有甲状腺癌的一般声像图特点,但有些与良性结节相似,应注意鉴别。
Objective To elevate the diagnostic level of medullary thyroid carcinoma(MTC) by investigating ultrasonographic characteristics of MTC.Methods The ultrasonographic features of 33 cases with MTC confirmed by surgical operation and pathology were analyzed retrospectively.As control group,44 cases of papillary thyroid carcinoma(PTC) and 47 benign nodules were also studied,and the ultrasonographic features of these two group were compared with those of MTC group.Results Compared to PTC,MTC nodules showed statistical difference on boundary,shape,aspect ratio,calcification type,internal blood and enlarged lymph nodes on the neck(P<0.05).Compared to benign nodules,MTC nodule showed statistical difference on internal echogenicity,calcification type,internal blood and enlarged lymph nodes on the neck(P<0.05).Conclusion Most MTC have the general ultrasonographic characteristics of thyroid cancer,but some are similar to benign nodules and are difficult to differentiate.
作者
岳玉杰
杭欣
周瑾瑾
孙文奎
李小咪
王春光
YUE Yujie;HANG Xin;ZHOU Jinjin;SUN Wenkui;LI Xiaomi;WANG Chunguang(Department of Medical Imaging,Weifang Medical University,Weifang 261053,China;Department of Ultrasound,Weifang People's Hospital;Department of Ultrasound,Weifang Traditional Chinese Medicine Hospital)
出处
《潍坊医学院学报》
2019年第6期424-426,共3页
Acta Academiae Medicinae Weifang
基金
潍坊市科技发展计划项目(项目编号:2017YX006)
关键词
甲状腺髓样癌
乳头状癌
超声
Medullary thyroid carcinoma
Papillary thyroid carcinoma
Ultrasonography
