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目的分析甲状腺癌及其淋巴结转移的CT表现,探讨多层螺旋CT诊断甲状腺癌分期的临床应用价值。方法本研究回顾性分析了65例甲状腺癌患者的术前CT图像,依据CT图像表现将患者的病情分为Ⅰ、Ⅱ、Ⅲ、Ⅳ期,归类成表后和手术病理对照。结果Ⅰ期腺内原发癌型21例,Ⅱ期41例,Ⅲ期颈部组织器官转移型38例,Ⅳ期远隔器官转移型5例。结论甲状腺Ca在各个病理时期有不同的CT表现特点,可以提供分期诊断标准。
Objective To analyze the CT findings of thyroid carcinoma and lymph node metastasis, and to explore the clinical value of multi-slice spiral CT in the diagnosis of thyroid cancer. Methods This study retrospectively analyzed the preoperative CT images of 65 patients with thyroid cancer. According to the CT images, the patients were divided into Ⅰ, Ⅱ, Ⅲ and Ⅳ stages, which were classified into the postoperative and pathological controls. Results There were 21 cases of primary carcinoma in stage Ⅰ, 41 cases in stage Ⅱ, 38 cases of cervical tissue and organ metastasis in stage Ⅲ, and 5 cases of distant organ metastasis in stage Ⅳ. Conclusion Thyroid Ca has different characteristics of CT in different pathological stages, which can provide staging diagnostic criteria.