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中华医学超声杂志(电子版) ›› 2023, Vol. 20 ›› Issue (11) : 1211 -1215. doi: 10.3877/cma.j.issn.2096-1537.2023.11.018

综述

超声诊断甲状腺滤泡癌的研究进展
蒋添, 倪晨, 欧笛, 徐栋()   
  1. 310022 杭州,温州医科大学浙江省肿瘤医院研究生培养基地
    310022 杭州,中国科学院大学附属肿瘤医院(浙江省肿瘤医院)超声医学科 中国科学院肿瘤与基础医学研究所 浙江省头颈肿瘤转化医学研究重点实验室 浙江省肿瘤智能诊断与分子技术诊治技术研究中心
  • 收稿日期:2022-09-18 出版日期:2023-11-01
  • 通信作者: 徐栋
  • 基金资助:
    国家自然科学基金(82071946); 浙江省自然科学基金(LSD19H180001)

Advances in ultrasound diagnosis of thyroid follicular carcinoma

Tian Jiang, Chen Ni, Di Ou   

  • Received:2022-09-18 Published:2023-11-01
引用本文:

蒋添, 倪晨, 欧笛, 徐栋. 超声诊断甲状腺滤泡癌的研究进展[J]. 中华医学超声杂志(电子版), 2023, 20(11): 1211-1215.

Tian Jiang, Chen Ni, Di Ou. Advances in ultrasound diagnosis of thyroid follicular carcinoma[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(11): 1211-1215.

甲状腺癌是最常见的内分泌恶性肿瘤,甲状腺滤泡癌(follicular thyroid carcinoma,FTC)是甲状腺癌第二常见的病理类型1。2018年版甲状腺诊疗规范将FTC分为微小浸润型、包膜内血管浸润型和广泛浸润型2。FTC预后较差,局部复发和远处转移的发生率高,容易发生肺和骨的转移3。超声因其具有无创、简单方便、可反复操作等优点成为甲状腺结节检查的首选影像学方法4。美国放射学会甲状腺影像报告和数据系统认为甲状腺恶性肿瘤可疑的超声特征包括实性、低回声、不规则分叶状、纵横比>1以及微钙化5,但这些标准适用于甲状腺乳头状癌(papillary thyroid carcinoma,PTC),尚不能明确是否适用于FTC6。术前针吸细胞学检查虽然是诊断甲状腺癌的金标准,但对于FTC的诊断敏感度仍较低,且术中切片也很难将FTC和甲状腺滤泡性腺瘤(follicular thyroid adenoma,FTA)及其他亚型相区别,故超声诊断FTC仍具有挑战性。为了加深对FTC的认识,提高其早期诊断率,本文就FTC的超声特征及其研究进展进行综述。

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