摘要
目的 探讨老年男性乳头状甲状腺癌患者的 CT 表现与颈部淋巴结转移的相关性。方法 2008年1月至2013年12月从4家医院选取200例经手术病理证实的老年男性乳头状甲状腺癌患者，分析肿瘤数目、形态、大小等 CT 表现与颈部淋巴结转移的关系。结果 113例患者发生颈部淋巴结转移，87例未出现转移；不同肿瘤数目、形态、病灶有无钙化和坏死的患者颈部淋巴结转移率差异均无统计学意义（均P＞0.05）；颈部淋巴结转移率在肿瘤直径≥2 cm与＜2 cm[70.15 %（94／134）比28.79 %（19／66）]、重度与轻中度强化[64.15 %（102／159）比26.83 %（11／41）]、有与无周围侵犯[66.67 %（104／156）比20.45 %（9／44）]患者中差异均有统计学意义（均P＜0.05）。结论 老年男性乳头状甲状腺癌患者的CT特征可以初步判断颈部淋巴结是否转移。
Objective To detect the relationship between characteristic signs of CT and cervical lymph node metastasis in elderly male patients with papillary thyroid cancer. Methods From January 2008 to December 2013, two hundred elderly male patients with papillary thyroid cancer were selected from 4 hospitals.The relationship between characteristic signs of CT and lymphatic metastasis was analyzed. Results There were 113 patients with cervical lymph node metastasis, while the other 87 patients without cervical lymph node metastasis. There were no statistical significant differences between patients with or without metastasis in the number of tumors, tumor morphology, calcification, and necrosis （P 〉 0.05）, while there were statistical significant differences in tumor size [diameter ≥2 cm vs 〈 2 cm： 70.15 % （94/134） vs 28.79 % （19/66）], enhancement [high vs mild to moderate： 64.15 % （102/159） vs 26.83 % （11/41）] and surrounding invasion [with vs without： 66.67 % （104/156） vs 20.45 % （9/44）]. Conclusion The characteristic signs of CT may be the indication of lymphatic metastasis in elderly male patients with papillary thyroid cancer.
出处
《肿瘤研究与临床》
CAS
2015年第12期814-815,819,共3页
Cancer Research and Clinic
基金
国家自然科学基金（81072182）
