甲状腺髓样癌的超声诊断价值探讨

朱蓓琳; 邬宏恂; 王隽; 臧亚萍; 张冰洁

中国临床医学影像杂志 ›› 2014, Vol. 25 ›› Issue (3) : 162-164.

论著

甲状腺髓样癌的超声诊断价值探讨

朱蓓琳，邬宏恂，王隽，臧亚萍，张冰洁

作者信息 +

Value of ultrasound in the diagnosis of medullary thyroid carcinoma

ZHU Bei-lin, WU Hong-xun, WANG Jun, ZANG Ya-ping, ZHANG Bing-jie

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文章历史 +

摘要

目的：对甲状腺髓样癌的超声图像进行分析总结，探讨其超声特征，评价其诊断价值，以提高诊断率。方法：回顾性分析2000年1月—2012年12月经手术后病理证实的39例髓样癌患者51个恶性结节。结果：结节多数纵横比＜1（80%，41/51）；形态不规则（86%，44/51）；边界较清晰（63%，32/51）；低回声或稍低回声（94%，48/51）；钙化多见（62%，33/51）且多样，但仍以微钙化居多（52%，17/33）；液化少见（8%，4/51）；CDFI以Ⅳ型多见（55%，28/51）；RI多＜0.70（62%，29/47）；弹性成像Ⅱ级或Ⅳ级（50%，6/12）。部分可伴有颈部淋巴结转移（36%，14/39）。结论：髓样癌具有的一些超声特征与乳头状癌、滤泡性肿瘤相类似，注意鉴别。

Abstract

Objective: To analyze the ultrasonographic(US) features of thyroid medulary carcinoma(MTC), and to discuss the diagnostic value of US. Methods: Between January 2000 and December 2012, 51 malignant lesions proved to be MTC by histopathology in 39 patients were included in the study. Results: An anteroposterior/transverse diameter ratio less than one was seen in most of the nodules(80%). Irregular shape was seen in 44 nodules(86%). Clear border was seen in 32 nodules(63%). Forty-eight nodules were hypoechoic(94%). Calcification was seen in 33 nodules(62%), most of which was microcalcification(52%, 17/33). Degeneration was relatively infrequent. Pattern Ⅳ color flow image was seen in 28 nodules(55%). Pattern Ⅱor Ⅳ in real time elastography was seen in 6 nodules(50%, 6/12). Fourteen patients had cervical metastatic nodules(36%, 14/39). Conclusion: Some US features of MTCs were similar with papillary thyroid carcinoma or follicular tumors.

导出引用

朱蓓琳;邬宏恂;王隽;臧亚萍;张冰洁. 甲状腺髓样癌的超声诊断价值探讨[J]. 中国临床医学影像杂志. 2014, 25(3): 162-164

ZHU Bei-lin;WU Hong-xun;WANG Jun;ZANG Ya-ping;ZHANG Bing-jie. Value of ultrasound in the diagnosis of medullary thyroid carcinoma[J]. Journal of China Clinic Medical Imaging. 2014, 25(3): 162-164

中图分类号： Ｒ736.1 Ｒ445.1