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目的:对原发甲状腺淋巴瘤的超声诊断结果与病理结果进行对照研究。方法:选择2015年1月-2017年6月间,我院收治的获得临床确诊的不同病理类型原发性甲状腺淋巴瘤患者32例作为研究对象,实施彩色多普勒超声、免疫组化染色切片检查,对患者的超声影像学表现、病理特征进行对比分析。结果:本组32例患者中,有17例患者甲状腺双侧叶受累,有14例患者单侧叶受累,1例患者峡部受累。经超声检查发现,有10例患者超声表现出单纯弥漫型改变,有13例患者超声表现出甲状腺弥漫型病变背景下合并多发低回声结节型改变,有8例患者超声表现为肿块型改变,有1例患者超声表现出甲状腺双侧叶多发低回声结节。对比发现,不同病理类型原发甲状腺淋巴瘤患者的超表现不同。结论:原发甲状腺淋巴瘤病理类型对应者不同的超声表现,这对于临床影像学诊断具有十分重要意义,值得关注。
Objective: To compare the results of ultrasonography and pathology of primary thyroid lymphoma. Methods: From January 2015 to June 2017, 32 patients with clinically diagnosed primary thyroid lymphoma of different pathological types admitted to our hospital were enrolled in this study. Color Doppler ultrasound and immunohistochemical staining Check, the patient’s ultrasound imaging findings, pathological features were analyzed. Results: Among the 32 patients in this group, 17 patients had bilateral bilateral thyroid involvement, 14 patients had unilateral leaf involvement and 1 patient had isthmus involvement. Ultrasound examination found that 10 patients showed a simple diffuse ultrasound changes in 13 patients showed diffuse thyroid ultrasound diffuse lesions in the context of multiple hypoechoic nodular changes in 8 patients with ultrasound showed a mass change, One patient showed multiple hypoechoic nodules on both sides of the thyroid by ultrasonography. Comparison found that different pathological types of thyroid lymphoma patients with super-performance is different. CONCLUSIONS: Different thyroid lymphoma pathological types correspond to different sonographic manifestations, which is of great importance for clinical imaging diagnosis and deserves attention.