| 甲状腺癌超声诊断为TI-RADS2-3类原因分析 |
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| 引用本文： | 黄淑麟,刘亮,张超杰.甲状腺癌超声诊断为TI-RADS2-3类原因分析[J].医学临床研究,2016(12):2298-2300. |
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| 作者姓名： | 黄淑麟 刘亮 张超杰 |
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| 作者单位： | 1. 湖南省人民医院(湖南师范大学附属第一医院)乳甲外科,湖南 长沙,410005;2. 湖南省人民医院(湖南师范大学附属第一医院)超声科,湖南 长沙,410005 |
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| 摘 要： | 目的]分析甲状腺癌超声诊断为超声甲状腺影像报告和数据系统(TI-RADS) 2～3类的原因,提高对不典型甲状腺癌的认识,减少不必要的误诊.方法]回顾性分析30例甲状腺癌超声诊断为TI-RADS 2～3类的临床资料及超声图像特征.结果]30例术前超声诊断为TI-RADS 2～3类的甲状腺肿块术后病理分别为微小乳头状癌17例,乳头状癌3例,滤泡状癌6例,髓样癌4例,其中11例合并桥本甲状腺炎.结论]甲状腺癌误诊为TI-RADS 2～3类的原因多为肿决位于复杂的甲状腺背景或微小癌合并有多发良性结节或单发表现不典型甲状腺髓样癌.可疑甲状腺结节需行细针穿刺.
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| 关 键 词： | 甲状腺肿瘤/超声检查 误诊 回顾性研究 |
Analysis of the Causes of Thyroid Cancer to be Diagnosed as TI-RADS Grade 2-3 by Ultrasonography |
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| Abstract: | Objective]To evaluate the reasons why thyroid cancer was diagnosed as TI-RADS grade 2-3 by ultrasonography and to improve the diagnosis accuracy of atypical thyroid cancer and reduce unnecessary misdiagnoses.Methods]We retrospectively analyzed the clinic data and the ultrasound image characteristics of 30 thyroid cancers diagnosed as TI-RADS grade 2-3 by ultrasonography.Results]A total of 30 thyroid tumors that were diagnosed as TI-RADS 2-3 grade by preoperative ultrasound were pathological classified as 17 cases of papillary thyroid micro carcinoma,3 cases of papillary carcinoma,6 cases of follicular carcinoma,and 4 cases of medullary carcinoma after surgery;out of these,Hashimoto's thyroiditis was found in 11 cases.Conclusion]The reasons for thyroid cancer to bemisdiagnosed as TI-RADS 2-3 grade are lumps within the complicated thyroid background,micro-cancer lesions associated with multiple benign nodules,and single atypical thyroid medullary carcinoma manifestation.Therefore,atypical thyroid nodules need further fine needle aspiration. |
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| Keywords: | Thyroid Neoplasms/US Diagnostic Errors Retrospective Studies |
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