甲状腺癌的细针穿刺细胞学诊断及超声影像学特征分析

Clinical and Pathological Analysis of Thyroid Cancer Diagnosed by Fine Needle Aspiration Biopsy

目的:分析甲状腺癌的细针穿刺细胞学诊断(FNAC)效果及超声影像学特征。方法:回顾性分析40例甲状腺癌患者FNAC诊断结果、超声影像学特征以及组织病理学检查结果。结果:术前超声图像显示,结节区域多显示为不均匀低回声,其中33例患者超声图像显示结节边缘呈不规则粗糙毛刺状,多数患者结节内可发现沙砾样钙化灶;FNAC检查结果与术后组织病理学检查结果基本一致,结节边缘表现与术前超声图像基本相符。结论:超声定位对提高FNAC诊断准确率和小结节穿刺成功率具有显著效果,结合术前超声图像能够提高穿刺细胞学检查阳性诊断的准确率。

Objective： To study on the clinical analysis of thyroid cancer diagnosed by FNAC.Method： The clinic data of 40 patients with thyroid cancer were retrospectively analyzed, such as FNAC diagnosis, the characteristics of ultrasonography, and the examination results of histopathologic. Result： Ultrasonographic imaging showed that, uneven nodular areas were shown as more low echo, irregular rough burr in the nodes edge for 33 cases, calcification would be found for many patients ; Basically the same diagnosis for the FNAC and Postoperative pathological examination, these results were consistent from the nodes edge and ultrasonographic imaging. Conclusion： It shows that there had obvious effects on the diagnostic accuracy for FNAC and success rate of puncture for small nodules by ultrasonic locating, it can improve the diagnostic accuracy rate for FNAC combination with ultrasonographic imaging.