中国实用外科杂志2017，Vol.37Issue(9)：944-948,5.DOI:10.19538/j.cjps.issn1005-2208.2017.09.03
甲状腺癌颈淋巴结转移影像学诊断方法选择及评价
Diagnostic approach for detecting of cervical lymph node metastasis from thyroid cancer
陈曦 1陈海珍1
作者信息
- 1. 上海交通大学医学院附属瑞金医院外科,上海200025
- 折叠
摘要
Abstract
Thyroid cancer has a relatively high rate of lymph node metastasis.Ultrasound is the first imaging technique used for the assessment of cervical lymph node metastasis in patients with thyroid cancer.Enlarged axis,round shape,loss of an echogenic fatty hilum,cystic change,calcification,and abnormal vascularity are sonographic signs of metastatic lymph nodes.CT may be used as a complementary diagnostic method.Enlarged size,nodal grouping,calcification,cystic or necrotic change and abnormal enhancement suggest malignant possibility.Uhrasound guided fine needle aspiration cytology (FNAC) and thyroglobulin or calcitonin measurement in wash-out fluid of FNA has satisfactory diagnostic performance in lymph node metastasis.关键词
甲状腺癌/颈淋巴结转移/影像学Key words
thyroid cancer/cervical lymph node metastasis/imaging分类
医药卫生引用本文复制引用
陈曦,陈海珍..甲状腺癌颈淋巴结转移影像学诊断方法选择及评价[J].中国实用外科杂志,2017,37(9):944-948,5.
