| 刘颖 郭晓波 胡耀红 叶晓铿 池淑宏.超声影像在原发性甲状腺鳞状细胞癌中的临床诊断价值[J].,2014,14(30):5884-5887 |
| 超声影像在原发性甲状腺鳞状细胞癌中的临床诊断价值 |
| The Clinical Value of Ultrasonic Characters in the Diagnosis of PrimarySquamous Cell Carcinoma of the Thyroid |
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| DOI： |
| 中文关键词: 甲状腺 癌，鳞状细胞 超声检查 |
| 英文关键词: Thyroid Gland Carcinoma, squamous cell Ultrasonography |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨超声影像在原发性甲状腺鳞状细胞癌(PSCCT)中的临床诊断价值。方法：收集住院经组织病理学确诊的PSCCT
患者6 例，回顾性分析其临床一般资料及超声影像学资料。结果：6 例PSCCT患者年龄（49-77）岁，平均年龄64岁，临床上均表现
为甲状腺肿大，4例伴呼吸困难，3 例伴吞咽困难，3 例伴声音嘶哑。6 例患者均死亡，术后生存4-13 个月，平均术后生存期8.5 个
月。超声影像学特点：①6 例PSCCT 病灶大小较大(最大直径3.0-5.1 cm)，结节为形态不规则，且边界不清晰的实性混合性回声肿
块，内部可见片状极低回声区。2 例患者的肿块内部存在少许微量钙化，另外4 例则无明显钙化表现；②结节突破甲状腺被膜3
例，且与甲状腺周围组织分界不清晰；③4 例结节内部血流信号表现为少量，呈点线状分布，2 例结节内部血流信号表现为中量；
④5 例肿块可测得高阻力频谱(RI 0.72-0.88)；⑤ 3 例患者伴有颈部异常淋巴结。结论：PSCCT 具有一定超声影像特点，与临床表现
相结合有助于该病的鉴别诊断。 |
| 英文摘要: |
| Objective:To explore the clinical value of ultrasonic characters in the diagnosis of primary squamous cell carcinoma
of the thyroid (PSCCT).Methods:The clinical data and ultrasonic characters of 6 patients with PSCCT confirmed by pathology post
surgery were retrospectively reviewed.Results:The age range of the 6 patients with PSCCT were from49 to 77, and the average age was
64.All of 6 patients were presented with a enlargement of the thyroid gland, 4 patients had difficulty in breathing, 3 patients had difficulty
in swallowing, and 3 patients had hoarseness. All patients died and the postoperative survival time was 4-13 months, average survival
time was 8.5 months. The ultrasonic characters of 6 patients with PSCCT showed that, the size of lesions was large(a maximum diameter
of 3.0-5.1 cm), all of 6 lesions appeared as single solid mixed-echogenicity mass including irregular lamellate marked hypoechoic region,
with irregular margin and undefined boundary. Only 2 lesions exhibited microcaleifieation and another 4 lesions had no calcification, 3
1esions exhibited a sign of breakthrough thyroid envelope. Color Doppler flow imaging showed 4 patients had few blood flow and 2
patients had moderate blood flow, a higher vascular resistance spectrum was detected in 5 lesions (RI 0.72-0.88). 3 patients exhibited
abnormal neck lymph node.Conclusion:The characteristic ultrasonic appearance, combined with the clinical features, enables a
convincing preoperative diagnosis of PSCCT． |
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