摘要
目的探讨甲状腺癌超声声像、病理组织学分类以及临床分期之间的相关性。资料与方法分析125例超声疑诊甲状腺癌的声像表现,包括内部回声、形态、纵横比(A/T≥1)、钙化、血流分布等,分析病理组织学分类与超声声像之间的相关性。结果 96例甲状腺乳头状癌的典型表现为不规则低回声,边缘毛糙,伴微钙化,A/T≥1;12例滤泡状癌表现为单发类圆形肿块,边缘全部或区域性模糊,包膜不完整,A/T<1,内部无明显钙化;5例髓样癌表现为不规则低回声伴内部致密粗钙化;9例未分化癌表现为增长迅速伴有液化或钙化的不规则低回声肿块。TNM分期:Ⅰ期43例(35.5%),Ⅱ期53例(43.3%),Ⅲ期8例(6.7%),Ⅳ期18例(14.5%)。结论甲状腺癌的超声声像与甲状腺癌的组织学分类和临床分期有一定的相关性。
Purpose To determine the relationship of sonographic features of thyroid cancer with histological type and clinical staging. Materials and Methods 125 thyroid cancer patients were prospectively evaluated with ultrasonography. Sonographic features included internal echo, shape, microcalcification and blood flow. Results Typical findings of 96 thyriod papillary cacinamas were irregular, hypoechoic mass with spiculated margin and microcalcification, A/T ≥ 1. Solitary, oval nodule with partial or all irregular margin, A/T 〈 1 were associated with 12 follicular carcinama and there was no microcalcification. Five meduallary carcinomas were hypoechoic, irregular in shape with compact calcification. Undifferentiated carcinamas were presented as fast growing, hypoechoic mass with fluid and calcification. TNM staging was as follows： 35.5% （43/122） grade I ; 43.3% （52/122） grade II ; 6.7% （8/122） grade Ⅲ; 14.5% （17/122） grade IV. Conclusion Gray scale ultrasonography appearance of thyroid cancer is ralated to pathologic types and can be a predictor of histopathologic pattern.
出处
《中国医学影像学杂志》
CSCD
北大核心
2012年第3期216-219,共4页
Chinese Journal of Medical Imaging
关键词
甲状腺肿瘤
超声检查
多普勒
彩色
病理学
外科
肿瘤分期
Thyroid neoplasms
Ultrasonography, Doppler, color
Pathology surgical： Neoplasm staging
作者简介
通讯作者 王雪伟 Address Correspondence to： WANG Xuewei E-mail： wangxuewei1231010@126.com
