中国中西医结合影像学杂志2018，Vol.16Issue(2)：156-158,3.DOI:10.3969/j.issn.1672-0512.2018.02.015
MSCT对结节性甲状腺肿合并腺瘤或合并乳头状癌的诊断及鉴别诊断价值
Value of MSCT in the diagnosis and differential diagnosis of nodular goiter with adenoma and nodular goiter with papillary carcinoma
卢海燕 1次旦旺久1
作者信息
- 1. 西藏自治区人民医院放射科,西藏 拉萨 850000
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摘要
Abstract
Objective:To explore the value of MSCT in the differential diagnosis of nodular goiter (NG) with thyroid adenoma and nodular goiter with papillary carcinoma. Methods:Retrospective analysis of 24 cases of NG with thyroid adenoma and 9 cases of NG with papillary carcinoma confirmed by the surgical pathology was performed,of which 2 cases were combined with both thyroid adenoma and papillary carcinoma. All the patients underwent preoperative MSCT plain scan or plain scan with en-hanced examination. Based on the gold standard of pathological result,the clinical,pathological and CT features of the two groups were compared to evaluate the sensitivity,specificity and accuracy of MSCT on the diagnosis of nodular goiter with thy-roid adenoma or papillary carcinoma. Results:There was no significant difference in age and sex between the patients with adenocarcinoma and thyroid papillary carcinoma (P>0.05). There was no significant difference in the calcification and density of the lesions between the two groups (P>0.05). There was significant difference in the diameter,margin and form of the lesion (P<0.05). The accuracy,sensitivity and specificity of CT in diagnosing benign and malignant thyroid tumors were 66.67％, 87.50％ and 81.82％,respectively. Conclusion:MSCT can clearly show thyroid disease and plays a significant role in the diag-nosis of benign and malignant thyroid tumors.关键词
甲状腺肿,结节性/甲状腺肿瘤/体层摄影术,X线计算机Key words
Goiter/nodular/Thyroid neoplasms/Tomography/X-ray computed引用本文复制引用
卢海燕,次旦旺久..MSCT对结节性甲状腺肿合并腺瘤或合并乳头状癌的诊断及鉴别诊断价值[J].中国中西医结合影像学杂志,2018,16(2):156-158,3.
