超声诊断甲状腺乳头状腺癌的研究

Study of thyroid papillary carcinoma diagnosed with ultrasonography

目的 探讨甲状腺乳头状腺癌的超声特点。方法 回顾分析 2 7例经手术病理证实的甲状腺乳头状腺癌的超声特点。结果 超声诊断甲状腺恶性占位 13例 (伴颈部淋巴结转移7例 ) ,腺瘤 11例 ,腺瘤囊性变 3例。隐匿性乳头状腺癌的超声检出率为 4 0 % ,恶性肿瘤与良性肿瘤可以共存。结论 超声检出肿块 10 0 % ,符合病理学为 4 8%。超声检出的小肿块 ,在临床触诊中可能摸不出 。

Objective It is to study the ultrasonography feature of thyroid papillary carcinoma by operate and pathology diagnosis. Methods Ultrasonography feature of thyroid papillary carcinoma in 27 patients were retrospectively analyzed, which were substantiated by pathologic operation. Results With ultrasound, 13 cases of cancerous goiter in which seven cases had concomitant metastasis of lymph node on ipsilateral cervical, 11 cases of adenoma and three case of adenoma with cystic degeneration were diagnosed. Ultrasonography detective rate of hide papillary carcinoma was 40%. Malignant tumor and benign tumor might coexist in thyroid. Conclusion Ultrasound detective rate of mass is 100%, in which 48 percent is correspondence with pathology. The small mass that could not be palpated in clinic can be detected with ultrasound. It is very hard that ultrasonography correspond with pathology.