摘要
目的:探讨高频超声对甲状腺弥漫硬化型乳头状癌(DSV)的诊断与鉴别诊断价值。方法:2006-2010年共搜集DSV13例,所有病例均经手术后病理证实,分析声像图特征。结果:13例DSV甲状腺内部呈弥漫性不均匀改变和沙粒状钙化,无肿块及结节表现11例,2例伴有结节性甲状腺肿,颈部淋巴结转移9例。结论::DSV多发生在年轻女性,高频超声声像图表现为甲状腺内部回声弥漫性不均匀且伴有广泛沙粒状钙化,甲状腺内无明显肿块及结节,应与桥本甲状腺炎、亚急性甲状腺炎相鉴别。
Study the value on diagnosis and differential diagnosis of high frequency sonography to diffuse sclerosing variant of the thyroid.Method:13 cases of DSV were collected from 2006 to 2010,the diagnose of all cases was verificated by pathology after operation verification,sonogram echogram of all cases was analyzed.Result:All of 13 cases had diffuse,nonuniform change within thyroid gland and granulous calcification.11 of these cases had no lump and nodus is,but the other 2 cases had nodular goiter,all cases have the sand granularity the micro caicifications.Among these 13 cases,9 cases had cervical lymph nody metastasis.Conclusion:More DSV were occurrenced in young female.It's feature of high-frequency ultrasound is diffuse,nonuniform change within thyroid gland and granulous calcification.and it hasn't obvious lump and nodus.It should be discriminated with hashimoto thyroditis and subacute thyroiditis.
出处
《亚太传统医药》
2011年第10期155-156,共2页
Asia-Pacific Traditional Medicine
关键词
甲状腺
弥漫硬化型乳头状癌
高频超声
Diffuse Sclerosing Variant(DSV)
High-frequency Sonography