甲状腺结节和颈部淋巴结超声标准化报告及建议

doi:10.3877/cma.j.issn.1672-6448.2016.08.003

图3~6 同一例患者，甲状腺左叶乳头状微小癌二维超声声像图及超声绘图定位示意图。图3甲状腺癌术前二维超声声像图示甲状腺左叶中1/3一枚实性结节，大小0.4 cm×0.4 cm，边缘不规则（箭头所示）；图4　二维超声纵切面六分法定位示意图清晰显示结节位于甲状腺左叶中1/3；图5　甲状腺可疑结节术前二维超声横切面声像图示位于甲状腺左叶腺体血管侧微小结节（箭头所示）；图6　甲状腺左叶二维超声四分法定位示意图清晰显示结节位于甲状腺左叶血管侧；手术病理诊断为甲状腺乳头状微小癌

表1 甲状腺和颈部淋巴结超声与病理总体诊断描述格式

检查部位	结节侧别	超声最终诊断结果	细胞学最终诊断结果
□甲状腺	□左侧	□正常	□不能诊断或不满意
?	□右侧	□甲状腺结节需行细胞学检查	□良性不典型或滤泡性病变不能明确性质
?	?	□甲状腺不均匀，提示甲状腺炎	□滤泡性肿瘤或可疑滤泡性肿瘤
?	?	□甲状腺增大伴气管移位和（或）胸骨下延伸	□可疑恶性
?	?	□术后改变	□恶性
?	?	□其他	?
检查部位	淋巴结侧别	超声最终诊断结果	细胞学最终诊断结果
□颈部	□左侧	□无可疑淋巴结	□良性
?	□右侧	□淋巴结或软组织不能确定性质	□恶性
?	?	□可疑淋巴结，不能进行细针抽吸活检	□不能确定
?	?	□淋巴结需行细胞学检查	?

表1 甲状腺和颈部淋巴结超声与病理总体诊断描述格式

检查部位	结节侧别	超声最终诊断结果	细胞学最终诊断结果
□甲状腺	□左侧	□正常	□不能诊断或不满意
?	□右侧	□甲状腺结节需行细胞学检查	□良性不典型或滤泡性病变不能明确性质
?	?	□甲状腺不均匀，提示甲状腺炎	□滤泡性肿瘤或可疑滤泡性肿瘤
?	?	□甲状腺增大伴气管移位和（或）胸骨下延伸	□可疑恶性
?	?	□术后改变	□恶性
?	?	□其他	?
检查部位	淋巴结侧别	超声最终诊断结果	细胞学最终诊断结果
□颈部	□左侧	□无可疑淋巴结	□良性
?	□右侧	□淋巴结或软组织不能确定性质	□恶性
?	?	□可疑淋巴结，不能进行细针抽吸活检	□不能确定
?	?	□淋巴结需行细胞学检查	?

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Discussion on standardized ultrasound report for thyroid nodules and lymph nodes

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