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常规超声联合增强CT在甲状腺髓样癌术前评估中的应用价值

Application Value of Conventional Ultrasound Combined with Enhanced CT in Preoperative Evaluation of Medullary Thyroid Carcinoma
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摘要 甲状腺髓样癌(medullary thyroid carcinoma,MTC)是甲状腺恶性肿瘤中较为少见的一种类型,约占甲状腺癌的3%~8%[1]。MTC来源于可以分泌降钙素的甲状腺C细胞,属于神经内分泌肿瘤。由于MTC侵袭性高、转移早、预后较差,因此尽早发现、明确诊断并手术治疗很关键[2]。部分MTC的超声声像图与良性病变较为相似,特别是较大的结节,单纯依靠超声诊断MTC的准确度较低,而细针穿刺活检对MTC的诊断准确度不足50%[3]。目前国内外关于超声和CT对MTC研究方面的报道较多[3-5],二者的联合研究鲜见,尚无二者联合提高MTC的美国放射学会甲状腺影像报告和数据系统(ACR TI-RADS)[6]级别方面的研究。
作者 黄雅元 俞丽芳 韩志江 包凌云 黄斌 HUANG Yayuan;YU Lifang;HAN Zhijiang
出处 《浙江中西医结合杂志》 2020年第10期833-835,I0004,共4页 Zhejiang Journal of Integrated Traditional Chinese and Western Medicine
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