甲状腺乳头状癌超声特征与病理诊断的对比研究

目的探讨甲状腺乳头状癌(PTC)超声声像图特征,提高超声诊断PTC的临床符合率。方法回顾性分析2010年12月至2011年12月在我院接受治疗的32例PTC患者临床资料,观察其超声检查声像图特征,并与病理结果进行对比分析。结果本组32例患者表现为低回声实性结节29例(90.63%),19例(59.38%)表现为形态不规则、边界欠清晰;24例(75.00%)不伴周边晕环;6例(18.75%)伴有周边晕环;29例实性结节中17例(58.62%)在结节内可见砂粒样微钙化,3例(10.34%)呈囊性表现囊内有实性突起,回声不均匀,存在散在的砂粒样微钙化;27例(93.10%)肿块内部有明显彩色血流表现;15例(51.72%)颈部肿大淋巴结内部出现囊性病变,超声检查确诊PTC为30例,超声诊断符合率为93.75%。结论超声检查有助于PTC的诊断和鉴别,是目前PTC诊断的一种较佳方法,值得临床推广应用。

Correlation study of sonographic characteristics and pathological diagnosis of papillary thyroid carcinoma.

Objective To investigate the sonographic features of thyroid papillary carcinoma (PTC), and to improve the diagnostic accuracy of ultrasoundd. Methods The clinical data of 32 patients with PTC treated in our hospital from December 2010 to December 2011 were retrospectively analyzed to investigate the sonographic features of ultrasound examination. And the results of ultrasound examination were compared with pathological analysis. Results Among the 32 patients, 29 (90.63%) showed hypoechoic solid nodules, 19 (59.38%) showed irregular border less clear; 24 patients (75.00%) were found without surrounding halo, while 6 (18.75%) were found with the surrounding halo; 29 patients were found with solid nodules, of which 17 (58.62%) were observed with sand-like nodules in the micro-calcification and 3 (10.34%) showed a cystic capsule with solid performance processes, echo uneven, complicated by scattered sand-like microcalcifications; 27 patients (93.10%) a clear color flow performance inside mass; 15 patients (51.72%) occur showed cystic lesions within cervical lymph nodes. Thirty patients were diagnosed as PTC by ultrasound, with an diagnostic accuracy of 93.75%. Conclusion Ultrasound examination is helpful to identify the PTC, which is an effective way for the diagnosis of PTC and is worthy to be popularized in clinical practice.