孔金金,邢淑玲,秦卫,周一萍,谢伟,张晓蓉.不典型甲状腺癌彩色超声误诊分析[J].中国医学影像技术,2002,18(7):651~653 |
不典型甲状腺癌彩色超声误诊分析 |
Analyzing of Misdiagnosed Thyroid Carcinoma with Color Doppler Ultrasonography |
投稿时间:2001-12-18 |
DOI: |
中文关键词: 甲状腺癌 彩色多普勒血流显像 误诊 |
英文关键词:Thyroid carcinoma Color Doppler flow imaging Misdiagnosis |
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中文摘要: |
目的 研究不典型甲状腺癌的超声征象。方法 回顾分析14例超声误诊经手术病理证实的甲状腺癌的超声图像,与37例甲状腺腺瘤和73 例结节性甲状腺肿的超声图像进行比较。结果 ①14例甲状腺癌分为两型,即酷似腺瘤型和结节性甲状腺肿伴癌结节型。②甲状腺癌表现为低回声结节,边界似毛玻璃状,彩色血流丰富,结节内可探及高速动脉血流。结论 应用多项指标综合分析法,能够提高彩色超声诊断不典型甲状腺癌的准确率。 |
英文摘要: |
ObJective To analyze ultrasonic images of atypical thyroid carcinoma. Methods Fourteen cases of misdiagnosed thyroid carcinoma, 37 cases of thyroid adenoma and 73 cases of solitary nodular goiter were analyzed and compared retrospectively, all cases were proved by surgery and pathology. Results ①Fourteen cases of thyroid carcinoma were classified two types: thyroid adenoma and solitary nodular goiter being complicated by small cancer node. ②Ultrasonic signs of thyroid carcinoma were low echo nodes,with border like frosted glass, rich flow signals and high-velocity arterial blood flow in the nodes. Conclusion Combing more criteria, we can improve the accuracy rate of diagnosis to atypical thyroid carcinoma. |
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