| 周倩,许萍.超声评估甲状腺癌颈部转移淋巴结的研究进展[J].中国医学影像技术,2019,35(11): |
| 超声评估甲状腺癌颈部转移淋巴结的研究进展 |
| Progress in evaluation of cervical metastatic lymph nodes of thyroid neoplasms with ultrasonography |
| 投稿时间：2019-06-18 修订日期：2019-11-03 |
| DOI： |
| 中文关键词: 甲状腺肿瘤 淋巴转移 超声检查 |
| 英文关键词:thyroid neoplasms lymphatic metastasis ultrasonography |
| 基金项目:无 |
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| 中文摘要: |
| 甲状腺癌近年来呈高发趋势，尤其是乳头状癌。甲状腺乳头状癌预后常较好，但仍有部分患者就诊时已有淋巴结转移。淋巴结转移目前被认为是术后疾病复发的一个重要危险因素，早期发现、早期诊治十分重要。常规灰阶超声具有分辨力高、可重复、方便灵活的优点，可直接评估甲状腺结节及颈部淋巴结的形态、大小、边界、内部回声、血流模式等，再结合超声造影的血流增强模式动态显示及定量参数评估、超声弹性成像对结节硬度的定性判断及定量测定、超声引导下细针穿刺细胞病理学及分子检测，可使其对甲状腺乳头状癌颈部转移性淋巴结的诊断能力进一步提升。本文主要对超声评估甲状腺癌颈部转移淋巴结的研究进展做一综述。 |
| 英文摘要: |
| Thyroid cancer has a high incidence in recent years, especially papillary thyroid cancer. Its prognosis is generally decent, but some patients still have metastatic lymph nodes at the time of clinical diagnosis. Metastatic lymph nodes are currently considered to be an important risk factor for disease recurrence, so early detection and treatment are very important. With the advantages as high resolution, repeatability, convenience and flexibility, conventional ultrasonography of gray scale mode can directly evaluate the morphology, size, boundary, internal echo and flow mode of thyroid nodules and cervical lymph nodes. In addition, combined with the dynamic enhancement mode display and quantitative parameter evaluation in contrast-enhanced ultrasound, the qualitative judgment and quantitative determination of nodules hardness with ultrasound elastography, the cytopathology and molecular detection with ultrasound-guided fine needle aspiration cytology, the diagnosis of cervical metastatic lymph nodes in papilla thyroid cancer has been greatly improved. The advancements of ultrasonic evaluation of cervical metastatic lymph nodes in thyroid neoplasms are mainly reviewed in this article. |
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