浙江医学Issue(11)：997-1001,5.
CT在腺瘤性结节性甲状腺肿和乳头状甲状腺癌鉴别诊断中的价值
摘要
Abstract
Objective To assess the value of computed tomography (CT) in differentiation of adenomatoid nodule goiter (ANG) from papil ary thyroid carcinomas (PTC). Methods CT findings of 112 thyroid lesions in 105 patients with ANG and 196 thyroid lesions in 181 patients with PTC were retrospectively analyzed, all cases had pathology diagnosis. The gender, age, shape of lumps, thyroid edge interruption, calcification, degree of enhancement, tumor boundaries after contrast enhancement, lymph node metastasis were observed. The sensitivity, specificity, positive predictive value and accuracy were calculated, us-ing higher degree of enhancement than thyroid around for diagnosis of ANG and using thyroid edge interruption for diagnosis of PTC. Results There were significant differences in the shape of tumors, thyroid edge interruption, fine granular calcification, coarse calcification, degree of enhancement, tumor boundaries after contrast enhancement between ANG and PTC (P<0.05), while there were no differences in ring calcification ratio between two groups (P>0.05). Lymph node metastasis were founded in 75 patients. Using higher degree of enhancement than thyroid around for the diagnosis of ANG, the sensitivity, specificity, positive predictive value and accuracy were 67.9%, 100.0%, 100.0% and 87.6%, respectively. Using thyroid edge interruption for the diagnosis of PTC, the sensitivity, specificity, positive predictive value and accuracy were 87.0%, 91.1%, 93.6% and 88.6%, respectively. Conclusion The findings of CT scan have value in differentiation of adenomatoid nodule goiter from pap-il ary thyroid carcinomas.关键词
甲状腺结节/甲状腺肿瘤/体层摄影术/X线计算机Key words
Thyroid nodule/Thyroid neoplasms/Tomography/X-ray computed引用本文复制引用
赖旭峰,项晶晶,韩志江,陈文辉..CT在腺瘤性结节性甲状腺肿和乳头状甲状腺癌鉴别诊断中的价值[J].浙江医学,2013,(11):997-1001,5.基金项目
杭州市卫生科技计划项目(2012A020) （2012A020）
