摘要
目的探讨甲状腺滤泡癌(FTC)和髓样癌(MTC)的超声声像图特征与术后病理的相关性。评价彩超在甲状腺癌鉴别诊断中的价值。方法回顾性分析49例甲状腺癌病例,其中FTC21例,MTC28例,将其彩超表现和病理特征进行对照分析。结果①二维超声图像提示两者的密度、边界、钙化形式差异无统计学意义(P=0.202,P=0.318,P=0.286);②边界清晰与否决定于肿瘤浸润的类型,病理显示MTC多为无包膜广泛浸润型生长,边界不清晰;FTC多为包膜完整的微小浸润型生长,肿瘤边界一般清晰;③MTC(22/28)较FTC(3/21)更易发生颈部淋巴结转移(P<0.001)。结论彩超对鉴别FTC和MTC有意义,彩超特征与病理改变有密切的相关性。
Objective To evaluate the relationship between the Color Ultrasound features and pathologic findings of medullary thyroid carcinoma （MTC） and follicular thyroid carcinoma （FTC）.Methods The Color Ultrasound features of 21 FTC and 28 MTC lesions were analyzed retrospectively, the pathologic findings were compared. Results ①The lesion density、border and calcification shape of these two kinds of lesion on Color Ultrasound imagings were not different significantly（P=0.202,P=0.318,P=0.286）.②The border features of thyroid carcinoma on plain were changed, which had relationship with the lesion’s capcule and neoplastic capillary vessels.③MTC（22/28） are more easy to have cervical lymph nodes metastases than FTC（3/21）,and there was significant different （P〈0.001）.Conclusion Color Ultrasound are helpful in the differential diagnosis of MTC and FTC ,and Color Ultrasound linked closely to pathologic appearances.
出处
《中国实用医药》
2010年第15期82-84,共3页
China Practical Medicine
关键词
甲状腺肿瘤
彩超
病理
Thyroid carcinoma
Color Ultrasound
Pathology
