20161207甲狀腺CT診断摘录.ppt

龙岩人民医院放射科陈恩明 2016.12.07;甲状腺的被膜 甲状腺有两层被膜包绕，外层即气管前筋膜，内层为甲状腺的外膜纤维囊，紧贴腺体，很薄，可随血管、神经深入甲状腺内分隔甲状腺小叶，两层被膜之间有疏松结缔组织，甲状旁腺即位于甲状腺侧叶后部的两层被膜之间;前：皮肤、浅筋膜、封套筋膜、舌骨下肌 群、气管前筋膜 后：喉、气管及咽、食管 两侧：颈动脉鞘、颈交感干 甲状旁腺、喉返神经、喉上神经;扫描技术;甲状腺CT检查常规;低密度;囊变;钙化的病理基础;1、微钙化;1、微钙化;2、粗钙化;平扫：甲状腺右侧叶粗钙化灶，其周围密度与正常甲状腺一致 增强：钙化灶周围环带状低强化区，与正常甲状腺分界清晰 病理结果：甲状腺右侧叶结节性甲状腺肿;平扫：甲状腺右侧叶粗钙化灶，钙化周围见软组织低密度影，与正常甲状腺组织分界清晰 增强：钙化灶周围软组织明显强化，与周围甲状腺组织分界不清 病理结果：甲状腺右侧叶乳头状癌;3、环状钙化;平扫：甲状腺右侧叶环状钙化，环内见软组织密度影，密度低于周围甲状腺组织 增强：环状钙化内部强化不明显，周围甲状腺组织明显强化，与平扫对照，环内软组织轮廓显示更清晰 病理诊断：甲状腺右侧叶结节性甲状腺肿;平扫：甲状腺左侧叶环状钙化，环内见软组织密度影，密度明显低于周围甲状腺组织 增强：环内软组织强化明显，但低于周围甲状腺组织，与平扫对照，环内软组织轮廓显示模糊 病理诊断：甲状腺左侧叶滤泡细胞癌;4、孤立性粗钙化;4、孤立性粗钙化---钙化周围伪影有助于甲状腺良性病变的诊断;结节周围腺体完整性;甲状腺右侧叶低密度结节伴砂粒样钙化，增强动脉晚期结节边缘变模糊，静脉期结节与正常甲状腺相似，不易辨认；病理：甲状腺乳头状癌;甲状腺右侧叶椭圆形低密度结节，边缘清晰，形态规则，增强后病灶明显强化，但强化程度低于周围正常甲状腺组织 病理：甲状腺右侧叶腺瘤;患者，女，47岁;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;;A、甲状腺癌 B、甲状腺肿C、甲状腺腺瘤 D、甲状腺囊肿;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011