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弥漫性甲状腺癌的超声表现
引用本文:刘丽,徐辉雄,谢晓燕,彭树柏.弥漫性甲状腺癌的超声表现[J].影像诊断与介入放射学,2008,17(6):243-244.
作者姓名:刘丽  徐辉雄  谢晓燕  彭树柏
作者单位:中山大学附属第一医院超声科,广州,510080
摘    要:目的探讨弥漫性甲状腺癌的超声特征及超声对弥漫性甲状腺癌的诊断价值。方法收集经手术病理证实的5例弥漫性甲状腺癌患者的超声图像资料,分析其表现。结果①5例弥漫性甲状腺癌均表现为甲状腺回声普遍增高、增粗、不均,微小钙化散在分布,腺体内未见明确局灶性病变,未见正常的甲状腺组织回声。②彩色多普勒超声检查,所有病例均表现为甲状腺血流信号增多。③所有病例均伴有双侧颈部淋巴结转移,转移的淋巴结内部见微小钙化灶。结论弥漫性甲状腺癌的超声表现具有特征性,超声对弥漫性甲状腺癌的诊断具有重要价值。

关 键 词:弥漫性  甲状腺癌  超声特征

Ultrasonographic features of diffuse thyroid carcinoma
LIU Li,XU Hui-xiong,XIE Xiao-yan,PENG Shu-bai.Ultrasonographic features of diffuse thyroid carcinoma[J].Journal of Diagnostic Imaging & Interventional Radiology,2008,17(6):243-244.
Authors:LIU Li  XU Hui-xiong  XIE Xiao-yan  PENG Shu-bai
Institution:LIU Li,XU Hui-xiong,XIE Xiao-yan,PENG Shu-bai.Department of Ultra-sound,The First Affiliated Hospital,SUN Yat-sen University,Guangzhou,510080 China
Abstract:Objective To investigate the ultrasonographic features of diffuse thyroid carcinoma. Methods The ultrasonographic features of 5 cases with diffuse thyroid carcinoma proved by pathology were retrospectively analyzed. Results ① In all 5 cases, diffuse hyper-echoic, coarse, heterogeneous echogenicity were visualized on ultrasonography. Scattered minimal calcifications were found in the thyroid tissue but without definite local lesions. Normal thyroid tissue was not seen on ultrasonography. ②On color Doppler flow imaging, abundant blood supply was visualized in the thyroids in all the 5 cases. ③ All the cases had bilateral cervical lymph node metastases with minimal calcification inside. Conclusion The ultrasonographic features of diffuse thyroid carcinoma are characteristic. Ultrasound plays an important value in the diagnosis of diffuse thyroid carcinoma.
Keywords:Diffuse  Thyroid carcinoma  Ultrasonography  
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