超声影像和病理测量甲状腺乳头状癌的差异

发布时间：2018-04-25 08:52

  本文选题：甲状腺 + 乳头状癌　； 参考：《中国医学科学院学报》2015年03期

【摘要】：目的比较超声和病理测量甲状腺乳头状癌尺寸的差异,讨论引起差异的原因。方法回顾性分析2012年12月至2013年5月在北京协和医院接受术前甲状腺超声并经手术病理证实为甲状腺乳头状癌的患者148例,按照结节的大小、形态、边界、是否含有囊性成分以及是否合并桥本氏病分成不同亚组比较超声和病理的测量差异。结果甲状腺癌结节最大径的超声测量结果为(1.58±0.94)cm,明显高于病理测量的(1.33±0.84)cm(P=0.000)。70.9%(105/148)结节超声测量结果大于病理测量结果,17.6%(26/148)结节超声测量结果小于病理测量结果。1.1~1.4 cm组最大径的超声和病理测量结果间差异无统计学意义[(1.21±0.11)cm比(1.11±0.32)cm,P=0.062],0.1~1.0 cm组最大径的超声测量结果为(0.75±0.19)cm,明显高于病理测量的(0.62±0.23)cm(P=0.000),≥1.5 cm组最大径的超声测量结果为(2.48±0.70)cm,也明显高于病理测量的(2.03±0.81)cm(P=0.000)。结论超声和病理测量甲状腺乳头状癌尺寸存在显著差异,1.1~1.4 cm结节测量结果更易一致。
[Abstract]:Objective to compare the size difference of thyroid papillary carcinoma measured by ultrasound and pathology, and discuss the causes of the difference. Methods from December 2012 to May 2013, 148 patients with papillary thyroid carcinoma underwent preoperative thyroid ultrasound and confirmed by surgery and pathology, according to the size, shape and boundary of the nodules. Sonographic and pathological differences were compared between different subgroups of Hashimoto's disease, whether they contained cystic components or not. Results the maximum diameter of thyroid carcinoma was 1.58 卤0.94 cm, which was significantly higher than that of pathological measurement (1.33 卤0.84 cm). 70.910 5 / 148) the results of ultrasonic measurement of thyroid carcinoma were larger than that of pathological measurement (17.6% 26 / 148). The results of ultrasonic measurement of thyroid cancer nodules were less than that of pathological measurements of 1.11.4 cm group. There was no significant difference between ultrasound and pathological measurements [1.21 卤0.11)cm vs 1.11 卤0.32 cm P0. 062] the maximum diameter of 0. 10 cm group was 0. 75 卤0. 19 cm, which was significantly higher than that of pathological measurement of 0. 62 卤0. 23 cm P0. 000, and the maximum diameter of 鈮，

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