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甲状腺微小乳头状癌超声诊断情况与病理分析

葛远科 吴行考 李光银

健康研究Issue(1):43-45,3.
健康研究Issue(1):43-45,3.DOI:10.3969/j.issn.1674-6449.2015.01.017

甲状腺微小乳头状癌超声诊断情况与病理分析

An analysis of the pathological and ultrasound diagnostic characteristics of thyroid papillary carcinoma

葛远科 1吴行考 1李光银2

作者信息

  • 1. 宁海县第一医院 病理科,浙江 宁海 315600
  • 2. 宁海县第一医院 影像科,浙江 宁海 315600
  • 折叠

摘要

Abstract

Objective To recognize the patterns of the pathological and ultrasound diagnostic characteristics of thyroid papillary carcinoma so as to obtain scientifically sound theoretical knowledge for clinical practice .Method A retrospective analysis was conducted of the sonographic images and pathological characteristics of 107 cases of small papillary thyroid cancer (115 malignant nodules ) and the data were compared with those obtained from 120 healthy cases (134 nodules) of benign nodules .Findings The inspection and analysis found that thyroid papillary carcinoma patients 'sonographic images bear present irregular forms , unclear boundaries , low solid heterogeneous echoes , and silent halo around .Trace of calcification could be recognized , which was mainly found to exist in internal blood flow .Microscopic examination also found images characterized by irregular shape , unclear boundaries and with fiber psuedocapsule , visible inside sand granular, and lesions in patients with internal organization arrangement by follicular and papillary structure of fibrous stroma and cancer cells.Malignant nodules number was 115, of which type I and II was 28.70% (33/115), type III was 71.30%(82/115);Benign nodule number was 134, of which type I and II was 88.81% (119/134), type III was 11. 19%(15/134); The difference between the two groups in these numbers was statistically significant ( P <0.05 ). Conclusion Ultrasound can serve as a practical technology for efficient diagnosis of thyroid papillary carcinoma .

关键词

甲状腺微小乳头状癌/超声/病理

Key words

thyroid papillary microcarcinoma/ultrasound/pathological characteristics

分类

医药卫生

引用本文复制引用

葛远科,吴行考,李光银..甲状腺微小乳头状癌超声诊断情况与病理分析[J].健康研究,2015,(1):43-45,3.

健康研究

1674-6449

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