甲状腺乳头状癌的CT征象分析

CT Signs of Papillary Thyroid Carcinoma

目的探讨甲状腺乳头状癌的CT扫描征象及其与病理对照分析,旨在提升CT的诊断准确性。方法对我院2011年12月-2018年5月接诊的38例甲状腺乳头状癌患者资料进行回顾性分析,分析其CT扫描结果,以及与病理的对照结果。结果 16例瘤体呈不规则形态、边缘分叶;25例呈瘤体圆形状态,分界清晰。平均直径3.2cm。平扫31例呈实性,7例呈囊实性。14例肿块中有沙粒样钙化。7例分界清晰,31例边界模糊。10例病灶轻度强化。结论甲状腺乳头状癌的CT征象与病理存在相关性、可一定程度上反映病变的病理成分,有助于甲状腺乳头状癌的诊断。

Objective To explore the comparative analysis of CT scan signs and pathological diagnosis of thyroid papillary carcinoma in order to improve the accuracy of clinical diagnosis of CT.Methods The data of 38 patients with papillary thyroid cancer admitted in our hospital from December 2011 to May 2018 were analyzed retrospectively,and the CT scan results were analyzed,as well as the pathological results.Results A total of 16 cases had irregular shape and lobulated margins,25 cases had round shape and clear demarcation.The average diameter is 3.2 cm.On plain scan,31 cases were solid and 7 cases were cystic and solid.Sandy calcification was found in 14 cases.The demarcation was clear in 7 cases and blurred in 31 cases.There were 10 small lesions with mild enhancement.Conclusion CT signs of thyroid papillary carcinoma are correlated with pathology and can reflect pathological components of the lesion to a certain extent,and it is helpful for the diagnosis of thyroid papillary carcinoma.