摘要
甲状腺乳头状癌(PTC)常伴有颈部淋巴结转移。判断淋巴结是否存在转移对甲状腺乳头癌患者选择清扫范围至关重要。临床上,弹性成像已被证实是一种有效的筛查恶性肿瘤手段。初步资料显示,其可能有效地筛查出颈部组织的恶性肿瘤,特别是颈部淋巴结的转移。但目前弹性成像的诊断标准和成像技术存在很大差异,这些研究中包括的转移淋巴结的原发灶各不相同。今后需要在特定的肿瘤患者人群中建立可重复的临床标准。由于PTC具有颈部淋巴结转移和复发的倾向,故PTC可作为研究弹性成像在颈部淋巴结中临床应用的特定人群。
Papillary thyroid carcinoma(PTC) is often accompanied by cervical lymph node metastasis,the detection of which is important in planning selective lymph node dissection.Elastography has been proved to be an effective method for screening malignant tumors in clinical.Preliminary data suggest that it may be effective in screening cervical malignant tumors,especially cervical lymph node metastasis.However,the diagnostic criteria and imaging techniques for elastography vary widely,and the primary tumors of the metastatic lymph nodes included in these studies are different.Repeatable clinical criteria in specific tumor patient populations should be established in the future.PTC patients can be used as a specific population to study the clinical application of elastography in the cervical lymph nodes because of its tendency of cervical lymph node metastasis and recurrence.
作者
张志斌
赵欣
ZHANG Zhibin;ZHAO Xin(Department of General Surgery,Tianjin First Center Hospital,Tianjin 300192,China)
出处
《医学综述》
2019年第5期1012-1016,共5页
Medical Recapitulate
关键词
甲状腺乳头状癌
弹性成像
颈部淋巴结
Papillary thyroid carcinoma
Elastography
Cervical lymph node
作者简介
通信作者:张志斌,E-mail:zhangzb-2253@163.com.
