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| 甲状腺癌与超声探测甲状腺钙化研究的新进展 | |
| 引用本文： | 石臣磊, 秦华东. 甲状腺癌与超声探测甲状腺钙化研究的新进展[J]. 中国肿瘤临床, 2008, 35(18): 1073-1075,1079. |
| 作者姓名： | 石臣磊 秦华东 |
| 作者单位： | 哈尔滨医科大学附属第二临床医院普外四科, 哈尔滨市 150086 |
| 摘 要： | 甲状腺癌的发病率在世界范围内呈上升趋势,近十年来发病人数急剧增加。如今已成为常见的恶性肿瘤之一,并且甲状腺癌占头颈部恶性肿瘤发病率的首位。随着高频超声及彩色多普勒血流成像技术的广泛应用,超声已经成为甲状腺疾病术前检查的最重要手段之一。其影像学显示的钙化病灶对甲状腺癌的临床诊断有重要的指导意义,尤以微小钙化的特异性高,达96.74%,特别是在对乳头状甲状腺癌的回顾性研究中,诊断率最高可达100%。微小钙化对诊断微小乳头状癌有重要临床意义。在那些甲状腺结节伴钙化的年龄<45岁的患者中,尤其当是伴微小钙化时,应高度警惕恶性可能,恶变的可能性超过50%。另外,甲状腺单发结节患者钙化与癌变紧密相关,特异性和阳性预测值均高于多发结节伴钙化者。近年来,颈部淋巴结的是否肿大、是否有钙化、针吸细胞学与超声的联合应用、一些甲状腺的特殊基因的检测和钙化与非乳头状甲状腺癌的关系逐渐成为研究的热点方向。 |
| 关 键 词： | 甲状腺癌 乳头状癌 钙化 超声 |
| 收稿时间： | 2008-04-23 |
| 修稿时间： | 2008-07-09 |
Progress in Research of Throid Cancer and Ultrasound Detection of Thyroid Calcification |
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| SHI Chen-lei, QIN Hua-dong. Progress in Research of Throid Cancer and Ultrasound Detection of Thyroid Calcification[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2008, 35(18): 1073-1075,1079. | |
| Authors: | SHI Chenlei QIN Huadong |
| Affiliation: | The Fourth Department of General Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China |
| Abstract: | Thyroid carcinoma is one of the most common cancers around the world. During the past ten years, the nubmer of patients suffering thyroid carcinoma has grown rapidly. The calcification which is frequently discribed in ultrasonography can be observed in both benign and malignant tumors. With the wide application of high-frequency ultrasound and Doppler color flow imaging, ultrasound has become one of the most important imaging examinations in the preoperative assessment of thyriod diseases. The calcification... |
| Keywords: | Thyroid carcinoma Papillary thyroid carcinoma Calcification Ultrasonography |
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