摘要
目的:探讨甲状腺癌的超声表现,并结合病理类型对照分析,提高对此疾病的认识。方法:回顾性分析经手术与病理证实的23例甲状腺癌二维超声与彩色多普勒声像图表现。结果:23例病变中,甲状腺乳头状腺癌15例,超声表现多为实性肿块,呈低或极低回声,可伴多个微小砂砾样钙化,肿块血流丰富;甲状腺滤泡状癌4例,其声像图表现为较高回声不规则形肿块,边界不清,血流丰富;髓样癌2例,未分化型甲状腺癌2例,其声像图表现为不规则形低回声肿块,边界不清,结节无声晕,血供丰富。结论:不同病理类型的甲状腺癌的超声表现具有一定差异性,但大多数表现为甲状腺内不规则形高回声或低回声肿块,可见微小钙化,血供丰富。超声检查方便、经济,可作为该肿瘤的首选检查方法。
Objective To observe the ultrasonic features of thyroid carcinoma combined with the contrast analysis of pathologic types,in order to improve the understanding of the disease.Methods Ultrasonic features of 23 cases of thyroid carcinoma proved by operation and pathology were analyzed retrospectively.Results Among 23 cases,15 cases were papillary thyroid carcinoma,solid masses with low or very low echo,multiple tiny gravel-like calcification,and rich in blood flow were the main feature of ultrasonography;4 cases were follicular thyroid carcinoma,irregular masses with high echo,unclear boundary,and rich in blood flow were the main feature of ultrasonography;2 cases were medullary carcinoma,and 2 cases were undifferentiated thyroid carcinoma,the ultrasonographic imaging showed irregular masses with hypoechoic,ill defined,and rich in blood supply.Conclusions It has a certain difference in ultrasonographic images of different pathological types of thyroid carcinoma.However,the mass with irregular hyperechoic or hypoechoic,tiny calcification,and rich in blood supply are the most manifestation of thyroid carcinoma.Ultrasonography is the preferential method in diagnosis of thyroid carcinoma,due to its economic and convenient operation.
出处
《中国民族民间医药》
2013年第13期65-66,共2页
Chinese Journal of Ethnomedicine and Ethnopharmacy
关键词
甲状腺癌
病理
超声
Thyroid carcinoma
Pathology
Ultrasonography