摘要
目的分析甲状腺髓样癌的声像学表现与诊断情况,以提高超声诊断符合率。方法方便选取2006年7月—2018年5月在该院经病理检查证实的49例甲状腺髓样癌的术前超声检查资料,进行回顾性分析。结果 49例甲状腺髓样癌共68个病灶,术前超声检查发现病灶67个,其中59.70%(40/67)位于甲状腺中上部,最大横径平均为(2.02±1.29)cm,超声主要表现为低回声、形态较规则、病灶内回声不均、伴钙化,65.67%(44/67)病灶血供丰富,术前超声检查误诊23例,其中误诊为腺瘤者占56.52%(13/23)。术后病理诊断颈部淋巴结转移者占57.14%(28/49)。结论甲状腺髓样癌的超声表现具有一定特征性,检查者应提高对该疾病的认识,提高超声诊断符合率,为临床提供诊断依据。
Objective To analyze the ultrasonographic manifestation and diagnosis condition of medullary carcinoma of thyroid gland to improve the ultrasound diagnosis coincidence rate.Methods The preoperative ultrasound examination data of 49 cases proved by the pathological examination in our hospital from July 2006 to May 2018 were convenient retrospectively analyzed.Results There were 68 lesions in 49 cases with medullary carcinoma of thyroid gland,and there were 67 lesions shown by the preoperative ultrasound examination,and 59.70%(40/67)was in the middle and upper thyroid gland,and the average maximum transverse diameter was(2.02±1.29)cm,and the major ultrasound manifestations were low echo,regular pattern,uneven echo within the lesion and calcification,and the blood supply of 65.67%(44/67)was rich,and 23 cases were misdiagnosed shown by the preoperative ultrasound examination,including 56.52%(13/23)misdiagnosed with adenoma,and 57.14%(28/49)were the cervical lymph node metastasis patients diagnosed the postoperative pathology.Conclusion The ultrasound manifestations of medullary carcinoma of thyroid gland have a certain features,and the examiners should improve the awareness of the diseases and improve the ultrasound diagnosis coincidence rate to provide diagnosis basis for the clinic.
作者
黄丽燕
黄春燕
魏巍丽
HUANG Li-yan;HUANG Chun-yan;WEI Wei-li(Department of Ultrasound Imaging,First Affiliated Hospital of Fujian Medical University,Fuzhou,Fujian Province,350000 China)
出处
《中外医疗》
2018年第36期184-186,共3页
China & Foreign Medical Treatment
关键词
甲状腺髓样癌
超声检查
误诊病理
诊断
Medullary carcinoma of thyroid gland
Ultrasound examination
Misdiagnosis pathology
Diagnosis
