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甲状腺乳头状癌剪切波弹性成像参数与临床病理特征的相关性分析
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作者 厚莉 《中国科技期刊数据库 医药》 2024年第11期102-106,共5页
探讨与分析甲状腺乳头状癌剪切波弹性成像参数与临床病理特征的相关性。方法 选择68例甲状腺肿瘤患者均来自新疆生产建设兵团第六师医院,时间在2020年1月至2023年1月之间,所有患者均进行超声弹性成像(ultrasonic elastography,UE)与剪... 探讨与分析甲状腺乳头状癌剪切波弹性成像参数与临床病理特征的相关性。方法 选择68例甲状腺肿瘤患者均来自新疆生产建设兵团第六师医院,时间在2020年1月至2023年1月之间,所有患者均进行超声弹性成像(ultrasonic elastography,UE)与剪切波弹性成像检查,比较差异,同时经病理特征确诊并分析差异。结果 68例患者中经病理检查出30例良性甲状腺肿瘤(良性组),其余诊断为甲状腺乳头状癌(恶性组),比较两组的超声弹性成像评分发现差异显著(P<0.05)。恶性组的Emax和Emean值都高于良性组(P<0.05),Emin值与良性组相比有显著降低(P<0.05)。恶性组的间胶原纤维含量与良性组比较有较大程度的减少(P<0.05),而弹力纤维含量却明显提高(P<0.05)。采用超声弹性成像方法诊断甲状腺乳头状癌的敏感性为86.84%,特异度是96.67%,而采用剪切波弹性成像诊断分别为97.37%和100.00%。Pearson分析显示甲状腺乳头状癌患者的超声弹性成像评分、弹性模量最大值、弹性模量最小值、弹性模量平均值与病理特征-弹力纤维、胶原纤维含量存在相关性(P<0.05)。结论 剪切波弹性成像能有效反映甲状腺肿瘤组织的临床病理特征,可判断肿瘤组织的良恶性状,甲状腺乳头状癌剪切波弹性成像参数与临床病理特征存在相关性,能为甲状腺乳头状癌的早期诊断提供有意义的参考价值。 展开更多
关键词 剪切波弹性成像 甲状腺肿瘤组织 甲状腺乳头状癌 病理特征 成像参数
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Expression and significance of ER and PR in differentiated thyroid carcinoma
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作者 Chaoming Zhang Weihua Li +2 位作者 Xiaodong Zhao Yanpeng Zhu Huiwen Shi 《The Chinese-German Journal of Clinical Oncology》 CAS 2014年第4期149-152,共4页
Objective: The aim of the study was to investigate the relationship between expressions of estrogen receptor (ER), progesterone receptor (PR) and gender, age, tumor size, lymph node metastasis, capsular invasion ... Objective: The aim of the study was to investigate the relationship between expressions of estrogen receptor (ER), progesterone receptor (PR) and gender, age, tumor size, lymph node metastasis, capsular invasion and histological type of differentiated thyroid carcinoma (DTC). Methods: Seventy cases of DTC who received surgery in our hospital (No. 401 Hospital of People's Liberation Army, Qingdao, China) between January 2008 and December 2011 were selected. Among them, 61 cases were papillary carcinoma and 9 cases were follicular carcinoma. Twenty cases were normal thyroid tissue adjacent to the tumor which was used as control. Immunohistochemical SP method was employed to detect the expression of ER and PR. Results: The positive rates of ER and PR in tumor tissues of DTC patients were 21.4% (15/70) and 31.4% (22/70), respectively, and no expression of ER or PR were founded in normal thyroid tissue (P 〈 0.01). The expressions of ER and PR were related to the lymph node metastasis and capsular invasion (X2 = 16.913 and 6.327, P 〈 0.05; x2 = 7.516 and 12.727, P 〈 0.05). No relationship was observed between the expressions of EPJPR and gender, age, and histological type (P 〉 0.05) of DTC patients. Conclusion: The expression levels of ER and PR in the tumor tissue of DTC patients were higher than those in the normal thyroid tissue nearby the tumor. Therefore, ER and PR expression might be clinical markers for DTC and its prognosis. 展开更多
关键词 differentiated thyroid carcinoma (DTC) estrogen receptor (ER) progesterone receptor (PR)
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