甲状腺峡部乳头状癌超声征象分析-中华临床医师杂志.PDF

·3720 · 中华临床医师杂志( 电子版)2015 年10 月第9 卷第20 期 Chin J Clinicians(Electronic Edition),October 15,2015,Vol.9,No.20 ·临床论著· 甲状腺峡部乳头状癌超声征象分析 1 2 2 1 2 2 范凤景 秦玲 丁红宇 刘德泉 贾俊英 檀智 【摘要】 目的 探讨原发于峡部甲状腺乳头状癌（PTC ）超声声像图特征。方法 回顾性分 析41例病理证实为原发于峡部PTC患者的超声表现，并随机选取同时期原发于侧叶PTC患者90例进 行对照，比较两组患者超声表现差异，所有患者均在行超声检查后2周内行甲状腺全切及颈部中央区 淋巴结清扫术。结果 峡部与侧叶PTC患者在年龄、性别及病灶大小方面相匹配，无明显差别；两 组病例在肿块边界、内部回声、微钙化等超声特征之间差异均无统计学意义（P ＞0.05 ）；与原发于 侧叶PTC相比，峡部PTC常易表现为甲状腺被膜侵犯、纵横比＜1、颈部中央区淋巴结转移，两组差 别均有统计学意义（P ＜0.05 ）。结论 与侧叶PTC相比，峡部PTC更易于发生被膜侵犯及颈部中央 区淋巴结转移，对于即使边界较清、纵横比＜1的甲状腺峡部结节仍须仔细观察排除恶性结节的可能， 提高诊断的准确率。 【关键词】 超声检查； 甲状腺； 癌，乳头状； 淋巴结转移 Study on ultrasound image features of papillary thyroid carcinoma originating in the isthmus Fan 1 2 2 1 2 2 1 Fengjing , Qin Ling , Ding Hongyu , Liu Dequan , Jia Junying , Tan Zhi . Taishan Medical College, Taian 271000, China; 2Department of Ultrasound, Shandong Provincial Qianfoshan Hospital, Jinan 250014, China Corresponding author: Ding Hongyu, Email: hongyuding@ 【Abstract 】 Objective The aim of the present study was to analyze the sonographic features of papillary thyroid carcinoma (PTC) originating in the thyroid isthmus. Methods From January 2012 to December 2014, 41 patients with pathologically confirmed PTC originated in the thyroid isthmus were retrospectively analyzed. As a control group, 90 patients diagnosed as PTC originating in thyroid lobes during the same period were randomly matched to the study patients for age, sex, and tumor size. All patients had undergone total thyroidectomy with bilateral central lymph node dissection. The Chi-square test and rank s