摘要
目的探讨局灶性甲状腺病变的CT诊断价值。方法回顾性分析行CT检查并经手术病理证实的51例甲状腺病变的CT资料,51例均行平扫,43例加作增强。结果51例甲状腺病变中,甲状腺腺瘤12例,5例有囊变,6例有钙化,肿块均有完整包膜,无淋巴结转移。甲状腺癌25例,22例为乳头状癌,3例为滤泡状癌,1例为胸内甲状腺未分化癌,1例为髓样癌。12例有细钙化及小斑点状钙化,10例有囊变,22例边界不清,侵犯周围组织器官。15例颈部淋巴结转移。甲状腺转移癌2例,均有多处转移。结节性甲状腺肿12例,7例囊变,1例钙化,肿块边界清楚。结论注意肿块的钙化、肿块与正常甲状腺组织及周围结构的关系,以及有无淋巴结和远处转移是判断甲状腺病变良恶性的主要依据。CT对甲状腺病变的诊断和鉴别诊断有较重要的应用价值。
Objective To explore the value of CT in diagnosisis of thyroid diseases. Methods CT findings in 51 thyroid diseases cases proved by pathological data were ananlyzed retrospectively. All of them were examined by plain CT scan, and 43 of them were additionally examined by enhancement scan. Results There 12 thyroid adenomas cases had a complete capsule and no metastatic lymph node. Among 25 thyroid carcinomas cases, 22 were papillary carcinoma cases9 3 folliculla carcinoma cases, 1 undifferentiated carcinoma case, 1 medellary carcinoma case. 12 caese were found calcification9 including fine granular calcifications and small calcification, 15 cases were revealed metastatic lympadenopathy in the neck, 22 cases were unlear margin and infiltrative growth. 2 cases metastatic thyroid. Out of 12 nodular goiter cases ,7 had cystic change. Conclusion The calcification in lesions, the relationship between the lesions and normal thyroid tissue or surrounding struttures and cervical metastatic lymph nodes or metastasis are important for CT diagnosis and differential diagnosis of thyroid diseases. CT scan might possess important value in diagnosis and differential diagnoses of thyroid diaeases.
出处
《中国热带医学》
CAS
2008年第9期1561-1563,共3页
China Tropical Medicine
