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中华医学超声杂志(电子版) ›› 2019, Vol. 16 ›› Issue (03) : 202 -206. doi: 10.3877/cma.j.issn.1672-6448.2019.03.009

所属专题: 文献

小儿超声影像学

儿童及青少年甲状腺癌的超声声像分析
李素娟1, 邓学东2,(), 武心萍1   
  1. 1. 210028 江苏省中西医结合医院超声科
    2. 215002 南京医科大学附属苏州医院 苏州市立医院超声中心
  • 收稿日期:2018-09-10 出版日期:2019-03-01
  • 通信作者: 邓学东

The ultrasound diagnosis of thyroid carcinoma in children and teenagers

Sujuan Li1, Xuedong Deng2,(), Xinping Wu1   

  1. 1. Department of Ultrasound, Jiang Su Province Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing 210028, China
    2. Center of Medical Ultrasound, Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Suzhou 215002, China
  • Received:2018-09-10 Published:2019-03-01
  • Corresponding author: Xuedong Deng
  • About author:
    Corresponding author: Deng Xuedong, Email:
引用本文:

李素娟, 邓学东, 武心萍. 儿童及青少年甲状腺癌的超声声像分析[J]. 中华医学超声杂志(电子版), 2019, 16(03): 202-206.

Sujuan Li, Xuedong Deng, Xinping Wu. The ultrasound diagnosis of thyroid carcinoma in children and teenagers[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2019, 16(03): 202-206.

目的

分析儿童及青少年甲状腺癌超声声像图表现。

方法

选取2012年1月至2017年5月在江苏省中西医结合医院超声检查发现并经手术病理检查证实为甲状腺癌的儿童及青少年患者66例,分析儿童及青少年甲状腺癌超声声像图特征。

结果

术前超声显示:66例儿童及青少年患者中检出结节型甲状腺病灶56例(84.8%,56/66),伴微小钙化47例(83.9%,47/56),"毛刺状"改变44例(78.6%,44/56),边界不清晰37例(66.1%,37/56),颈部异常淋巴结14例(25.0%,14/56);另检出弥漫型甲状腺病灶10例(15.2%,10/66),伴微小钙化10例(100%,10/10);颈部淋巴结呈低回声,提示淋巴结转移7例(70.0%,7/10)。手术病理诊断:甲状腺乳头状癌64例(97.0%,64/66,包括10例弥漫硬化型乳头状癌),滤泡癌2例。

结论

超声早期诊断可对儿童及青少年甲状腺癌患者外科手术方式的选择及临床治疗提供有价值的诊断信息。

Objective

To analyze ultrasonographic features of thyroid carcinoma in childhood and adolescents.

Methods

In this study, the ultrasonographic features of 66 cases of children and adolescents who were diagnosed as thyroid carcinoma in the Department of Ultrasound of Jiang Su Province Hospital of Integrated Traditional Chinese and Western Medicine from January 2012 to May 2017 were retrospectively analyzed. All the thyroid nodules were confirmed by pathology.

Results

The results of preoperative ultrasound showed that in 66 cases of pediatric thyroid cancer, there were 56 cases of nodular type (55/66, 84.8%), 47 cases of microcalcification (47/56, 83.9%), 44 cases of irregular contour (44/56, 78.6%), 37 cases of unclear boundary (37/56, 66.1%), 14 cases of cervical lymph node metastasis (14/56, 25%). In 10 cases of diffuse type (15.2%, 10/66), there were 10 cases of microcalcification (10/10, 100%), 7 cases of hypoechoic cervical lymph node metastasis (7/10, 70%). Pathology confirmed 64 cases of papillary thyroid carcinoma (including 10 cases of diffuse sclerosing variant papillary carcinoma of thyroid) and 2 cases of follicular carcinoma.

Conclusion

Early diagnosis of ultrasound can provide valuable diagnostic information for the choice of surgical procedures and treatment for the patients.

图5,6 儿童及青少年甲状腺弥漫型病灶超声声像图。图5甲状腺内未见明显结节,仅见弥漫分布的微小钙化灶;图6甲状腺病灶内见弥漫分布的微小钙化灶
图7~11 儿童及青少年甲状腺病灶区异常淋巴结超声声像图。图7示淋巴结正常门蒂结构消失;图8,图9,图10淋巴结内见微小钙化、无回声区,血供丰富;图11淋巴结回声减低,内见微小钙化
表1 66例儿童及青少年甲状腺病灶超声表现(例)
图12~14 儿童及青少年甲状腺癌病理镜检图(HE ×400)。图12示甲状腺乳头状癌;图13示甲状腺滤泡癌;图14示弥漫硬化型乳头状癌
表2 66例儿童及青少年甲状腺病灶病理诊断结果(例)
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