International Journal of Clinical Research
International Journal of Clinical Research. 2023; 7: (5) ; 10.12208/j.ijcr.20230202 .
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广州医科大学附属第五医院 广东广州
*通讯作者： 冯嘉琪,单位：广州医科大学附属第五医院 广东广州；
目的 探讨弥漫硬化性甲状腺乳头状癌及淋巴结转移的超声图像特点，方法 总结颈部和甲状腺淋巴结的声像图特征，一共选取了11例，这11例都是经手术病理证实的甲状腺弥漫硬化性乳头状癌患者。结果 11例患者中，4例患者甲状腺双侧叶受累，7例患者病灶局限于单侧叶；6例患者合并桥本氏甲状腺炎；11例患者合并淋巴结转移。超声图像表现为弥漫散在分布的沙砾样微小钙化，呈“暴风雨征”，合并桥本氏甲状腺炎时病灶血流较丰富，多伴有淋巴结转移，所有病例术前超声均给与正确提示。结论 超声在诊断弥漫硬化型乳头状癌方面有较高的诊断率，有利于弥漫硬化型乳头状癌的早期诊断及治疗，具有较高的临床价值。
Objective To investigate the ultrasonographic features of diffuse sclerosing papillary carcinoma of thyroid gland and lymph node metastasis. Methods To summarize the ultrasonographic features of cervical and thyroid lymph nodes, a total of 11 cases were selected, and these 11 cases were all patients with diffuse sclerosing papillary carcinoma of thyroid gland confirmed by surgery and pathology. Results Among the 11 patients, 4 patients had bilateral thyroid involvement, and 7 patients had unilateral thyroid lesions. 6 patients were complicated with Hashimoto's thyroiditis; Eleven patients had lymph node metastasis. The ultrasonic images showed diffuse and scattered granular micro-calcification, showing "tempest sign". The lesions were rich in blood flow and mostly accompanied by lymph node metastasis in Hashimoto's thyroiditis. All cases were given correct preoperative ultrasound hints. Conclusion Ultrasound has a high diagnostic rate in the diagnosis of diffuse sclerosing papillary carcinoma, which is beneficial to the early diagnosis and treatment of diffuse sclerosing papillary carcinoma, and has a high clinical value.
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