论文部分内容阅读
目的:探讨超声对桥本甲状腺炎(HT)合并甲状腺乳头状癌(PTC)的诊断价值。方法:回顾性分析34例HT伴PTC患者的超声图像特征。结果:34例患者,36个病灶,其中2个病灶未见明显结节,超声检查仅表现为片状低回声区,内有散在分布的微钙化,余下的34个癌结节形态不规则26个,占76.5%,内部低回声30个,占88.2%,内部高回声4个,占11.8%,伴有微钙化19个,占55.9%,伴有粗大钙化8个,占23.5%,癌结节内血流信号较丰富走行方向杂乱25个,占73.5%,颈部淋巴结转移者4个,占11.8%。结论:分析HT合并PTC的超声表现,有助于提高HT背景下甲状腺癌的检出率。
Objective: To investigate the diagnostic value of ultrasound on Hashimoto’s thyroiditis (HT) combined with papillary thyroid carcinoma (PTC). Methods: The features of ultrasound images in 34 patients with HT with PTC were analyzed retrospectively. Results: There were 34 lesions and 36 lesions in 2 of them. No obvious nodules were found in 2 lesions. Ultrasound showed only patchy hypoechoic area with sparsely distributed microcalcifications. The remaining 34 lesions were irregular 26 , Accounting for 76.5%, internal hypoechoic 30, accounting for 88.2%, internal hyperechoic 4, accounting for 11.8%, with microcalcification 19, accounting for 55.9%, with coarse calcification 8, accounting for 23.5%, cancer knot Intra-articular blood flow signals richer walking direction 25, accounting for 73.5%, 4 cervical lymph node metastasis, accounting for 11.8%. Conclusion: Analyzing the ultrasound findings of HT combined with PTC can improve the detection rate of thyroid cancer in HT background.