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| TI-RADS分级与被膜侵犯对甲状腺乳头状癌淋巴结转移的诊断价值分析 | |
| 引用本文： | 薛坤,齐铮琴,史文宗,贾素花,王慧娟. TI-RADS分级与被膜侵犯对甲状腺乳头状癌淋巴结转移的诊断价值分析[J]. 河北医科大学学报, 2021, 42(4): 435-438,443. DOI: 10.3969/j.issn.1007-3205.2021.04.014 |
| 作者姓名： | 薛坤 齐铮琴 史文宗 贾素花 王慧娟 |
| 作者单位： | 河北省秦皇岛市第一医院超声一科,河北 秦皇岛 066000;河北省秦皇岛市第一医院质量管理处医学信息统计室,河北 秦皇岛 066000;河北省秦皇岛市北戴河医院超声科,河北 秦皇岛 066100;河北省秦皇岛市海港医院超声科,河北 秦皇岛 066000 |
| 摘 要： | 目的 探讨超声影像报告与数据系统(thyroid imaging reporting and date system,TI-RADS)与肿瘤侵犯被膜对甲状腺乳头状癌(papillary thyroid carcinoma,PTC)合并中央区淋巴结转移(central lymph node metastasis,CLNM... |
| 关 键 词： | 甲状腺肿瘤 超声检查 淋巴结 |
Diagnostic value of TI-RADS grades and tumor invasion into thyroid capsule in papillary thyroid carcinoma with cervical lymph node metastases |
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| XUE Kun,QI Zheng-qin,SHI Wen-zong,JIA Su-hua,WANG Hui-juan. Diagnostic value of TI-RADS grades and tumor invasion into thyroid capsule in papillary thyroid carcinoma with cervical lymph node metastases[J]. Journal of Hebei Medical University, 2021, 42(4): 435-438,443. DOI: 10.3969/j.issn.1007-3205.2021.04.014 | |
| Authors: | XUE Kun QI Zheng-qin SHI Wen-zong JIA Su-hua WANG Hui-juan |
| Affiliation: | 1.The First DepartmentofUltrasound,the First Hospital of Qinhuangdao City, Hebei Province, Qinhuangdao 066000, China; 2.Medical Information Statistics Office， the First Hospital of Qinhuangdao City, Hebei Province, Qinhuangdao 066000, China; 3.DepartmentofUltrasound, Beidaihe Hospital，Hebei Province, Qinhuangdao 066000, China; 4.Department of Ultrasound,Haigang Hospital of Qinhuangdao City, Hebei Province, Qinhuangdao 066000, China |
| Abstract: | ObjectiveTo explore the diagnostic value of thyroid imaging reporting and data system(TI-RADS) and tumor invasion into thyroid capsule for papillary thyroid carcinoma(PTC) with central lymph node metastasis (CLNM).MethodsA total of 279 patients with single PTC that was surgically removed and pathologically confirmed in our hospital were enrolled in this study. The gender, age, echo of PTC nodules, boundary, aspect ratio, microcalcifications and the relationship between nodules and thyroid capsule were recorded. According to ultrasound characteristics, each nodule was graded based on the TI-RADS grading. Combined with the pathological results of cervical lymph node in each patient, we retrospectively analyzed the value of TI-RADS grading and tumor invasion into thyroid capsule in the diagnosis of PTC with CLNM.ResultsThe univariate analysis showed that male PTC patients with TI-RADS 4c/5, poorly-defined boundary, and the tumor invasion into thyroid capsule are more likely to experience CLNM(P＜0.05). The multivariate analysis showed that male gender, poorly-defined boundary and the tumor invasion into thyroid capsule were independent risk factors for CLNM（OR=0.437, 2.260, 3.603， all P＜0.05）.ConclusionMale gender, poorly-defined boundary and the tumor invasion into thyroid capsule were independent risk factors for CLNM. Meanwhile, the higher the TI-RADS grades, the greater the possibility of CLNM. Therefore, the TI-RADS 4c/5 has predictive values for CLNM. |
| Keywords: | thyroid neoplasms ultrasonography lymph node |
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