• 四川大學(xué)華西醫(yī)院（成都，610041）1超聲科，2放射科;

目的 　探討甲狀腺髓樣癌的超聲聲像圖特點(diǎn)，以提高超聲診斷水平。 方法 　回顧性分析2006年1月－ 2010年9月經(jīng)手術(shù)切除及病理組織學(xué)證實(shí)的16例甲狀腺髓樣癌20個(gè)結(jié)節(jié)的超聲聲像圖表現(xiàn)。 結(jié)果　 20個(gè)甲狀腺髓樣癌結(jié)節(jié)中，結(jié)節(jié)呈低回聲20個(gè)，結(jié)節(jié)內(nèi)部有鈣化灶者13個(gè)，結(jié)節(jié)內(nèi)血流豐富者13個(gè)，合并有甲狀腺乳頭狀微小癌1例，頸部淋巴結(jié)腫大17例。 結(jié)論 　甲狀腺髓樣癌具有一定的超聲聲像圖特點(diǎn)，了解這些特點(diǎn)可以提高超聲對(duì)甲狀腺髓樣癌的診斷水平。

引用本文： 蔡迪明,李永忠,彭玉蘭,宋彬. 甲狀腺髓樣癌的超聲診斷價(jià)值. 華西醫(yī)學(xué), 2012, 27(11): 1656-1659. doi: 復(fù)制

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1. 　Xu L, Wang WB, Zhao YP, et al. Medullary thyroid carcinoma with nodular goiter carries an excellent prognosis[J]. J Surg Oncol, 2012, 106(2): 169-173.
2. 　陳銀成，陳灼懷，關(guān)弘，等.甲狀腺髓樣癌的診斷與鑒別診斷[J]，診斷病理學(xué)雜志，2005, 12(5): 345-347.
3. 　Ito Y, Kihara M, Hirokawa M, et al. Validity of 6(th) edition of UICC TNM classification system for medullary thyroid carcinoma: a proposal for intraoperative evaluation of T category[J]. Endocr J, 2012, 59(5): 407-416.
4. 　胡朝理, 靳紅義, 邱新光, 等. 甲狀腺髓樣癌預(yù)后因素分析[J]. 中國(guó)普通外科雜志, 2008, 17(11): 1061-1064.
5. 　蔡勝, 歐陽(yáng)云淑, 李建初, 等.超聲對(duì)甲狀腺髓樣癌的診斷價(jià)值[J],中國(guó)超聲醫(yī)學(xué)雜志, 2008, 24(12): 1071-1075.
6. 　Jun P, Chow LC, Jeffrey RB, et al. The sonographic features of papillary thyroid carcinomas[J]. Ultrasound Q, 2005, 21(1): 39-45.
7. 　Enrico P, Rinaldo G, Antonio B,et al.Risk of Malignancy in Nonpalpable Thyroid Nodules: Predictive Value of Ultrasound and Color-Doppler Features[J]. J Clin Endocrinol Metab, 2002, 87(5): 1941-1946.
8. 　K T Wong, Ahuja A.Cancer Imaging[J]. Ultrasound of thyroid cancer, 2005, 5(1): 157-166.
9. 　Morris LF, Ragavendra N, Yeh MW.Evidence-based assessment of the role of ultrasonography in the management of benign thyroid nodules[J]. World J Surg, 2008, 32(7): 1253-1263.
10. 　Rago T, Vitti P.Role of thyroid ultrasound in the diagnostic evaluation of thyroid nodules[J]. Best Pract Res Clin Endocrinol Metab, 2008, 22(6): 913-928.
11. 　Seo HS, Lee DH, Park SH, et al. Thyroid follicular neoplasms: can sonography distinguish between adenomas and carcinomas?[J]. J Clin Ultrasound, 2009, 37(9): 493-500.
12. 　周玉, 徐麗梅, 姚斌, 等. 甲狀腺髓樣癌21例[J], 中華全科醫(yī)師雜志, 2005: 4(1): 47.
  1. 1. 　Xu L, Wang WB, Zhao YP, et al. Medullary thyroid carcinoma with nodular goiter carries an excellent prognosis[J]. J Surg Oncol, 2012, 106(2): 169-173.
  2. 2. 　陳銀成，陳灼懷，關(guān)弘，等.甲狀腺髓樣癌的診斷與鑒別診斷[J]，診斷病理學(xué)雜志，2005, 12(5): 345-347.
  3. 3. 　Ito Y, Kihara M, Hirokawa M, et al. Validity of 6(th) edition of UICC TNM classification system for medullary thyroid carcinoma: a proposal for intraoperative evaluation of T category[J]. Endocr J, 2012, 59(5): 407-416.
  4. 4. 　胡朝理, 靳紅義, 邱新光, 等. 甲狀腺髓樣癌預(yù)后因素分析[J]. 中國(guó)普通外科雜志, 2008, 17(11): 1061-1064.
  5. 5. 　蔡勝, 歐陽(yáng)云淑, 李建初, 等.超聲對(duì)甲狀腺髓樣癌的診斷價(jià)值[J],中國(guó)超聲醫(yī)學(xué)雜志, 2008, 24(12): 1071-1075.
  6. 6. 　Jun P, Chow LC, Jeffrey RB, et al. The sonographic features of papillary thyroid carcinomas[J]. Ultrasound Q, 2005, 21(1): 39-45.
  7. 7. 　Enrico P, Rinaldo G, Antonio B,et al.Risk of Malignancy in Nonpalpable Thyroid Nodules: Predictive Value of Ultrasound and Color-Doppler Features[J]. J Clin Endocrinol Metab, 2002, 87(5): 1941-1946.
  8. 8. 　K T Wong, Ahuja A.Cancer Imaging[J]. Ultrasound of thyroid cancer, 2005, 5(1): 157-166.
  9. 9. 　Morris LF, Ragavendra N, Yeh MW.Evidence-based assessment of the role of ultrasonography in the management of benign thyroid nodules[J]. World J Surg, 2008, 32(7): 1253-1263.
  10. 10. 　Rago T, Vitti P.Role of thyroid ultrasound in the diagnostic evaluation of thyroid nodules[J]. Best Pract Res Clin Endocrinol Metab, 2008, 22(6): 913-928.
  11. 11. 　Seo HS, Lee DH, Park SH, et al. Thyroid follicular neoplasms: can sonography distinguish between adenomas and carcinomas?[J]. J Clin Ultrasound, 2009, 37(9): 493-500.
  12. 12. 　周玉, 徐麗梅, 姚斌, 等. 甲狀腺髓樣癌21例[J], 中華全科醫(yī)師雜志, 2005: 4(1): 47.