误诊为甲状腺癌的超声声像图特征分析30例

发布时间：2019-01-20 10:22

【摘要】：目的 :通过分析误诊为甲状腺癌病灶的超声声像图特征,提高对甲状腺良恶性结节的诊断准确性,减少误诊率。方法:回顾性分析30例无临床症状的术前误诊为甲状腺癌患者的超声声像图特征。结果:所有的病例均经过手术切除后病理确诊,误诊为甲状腺癌的30例中,结节性甲状腺肿17例,亚急性甲状腺炎8例,桥本氏甲状腺炎3例,甲亢2例。结论:误诊为甲状腺癌的原因很多,当超声表现为实性低回声或极低回声、边缘不光整等疑似甲状腺癌征象时,应提高警惕,综合其病史及其他实验室检查,减少误诊和不必要的手术。
[Abstract]:Objective: to improve the accuracy and reduce the misdiagnosis rate of benign and malignant thyroid nodules by analyzing the ultrasonographic features of thyroid carcinoma. Methods: the ultrasonographic features of 30 patients misdiagnosed as thyroid carcinoma before operation without clinical symptoms were analyzed retrospectively. Results: all cases were confirmed by pathology after resection. Among the 30 cases misdiagnosed as thyroid carcinoma, 17 cases were nodular goiter, 8 cases were subacute thyroiditis, 3 cases were Hashimoto's thyroiditis and 2 cases were hyperthyroidism. Conclusion: there are many reasons for misdiagnosis as thyroid carcinoma. When ultrasound shows solid hypoechoic or very low echo, edge is not only suspected of thyroid cancer signs, we should be on guard and synthesize its medical history and other laboratory examination. Reduce misdiagnosis and unnecessary surgery.
【作者单位】：郑州大学第一附属医院超声诊断中心;
【分类号】：R445.1;R581

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