原发性甲状腺癌的CT诊断及临床价值探讨

CT Diagnosis and Clinical Value of Primary Thyroid Carcinoma

目的对原发性甲状腺癌患者的CT诊断以及应用情况进行探讨。方法根据我院的43例甲状腺癌患者来分析,使用CT诊断,结合病理结果分析,共有30例乳头状腺癌,9例滤泡状腺癌、3例髓样腺癌、1例未分化癌。结果实性肿块27例、囊实性肿块14例及囊性肿块2例。17例可见钙化,9例可见甲状软骨破坏,7例喉咽腔受侵,颈部及上纵隔淋巴结转移23例。结论甲状腺癌经CT多平面重建及薄层重建能够对原发病灶和转移淋巴结沙粒钙样化骨质破坏情况进行观察,有助于临床诊断,手术选择和效果分析。

Objective To investigate the CT diagnosis and its application in patients with primary thyroid carcinoma. Methods According to the analysis of 43 cases of thyroid cancer in our hospital, using CT diagnosis, combined with pathological analysis, 30 cases of papillary adenocarcinoma, 9 cases of follicular adenocarcinoma, 3 cases of medullary adenocarcinoma,1 cases of undifferentiated carcinoma. Results 27 cases of solid tumors, 14 cases of cystic solid masses and 2 cases of cystic masses, 17 cases with calcification, 9 cases of visible thyroid cartilage damage, 7 cases of hypopharyngeal cavity invasion, neck and upper mediastinal lymph node metastasis in 23 cases. Conclusion The CT multi planar reconstruction and thin layer reconstruction can be helpful for the clinical diagnosis, surgical selection and effect analysis of primary lesion and metastatic lymph nodes.