Diagnostic Value of Color Doppler Ultrasonography on Benign and Malignant Thyroid Nodules_West China Medical Journal

Authors：

WANG Yu , SHEN Huifang , YANG Huali

Department of Ultrasound, the Affiliated Putuo Hospital of Shanghai University of Traditional Chinese Medicine, Shanghai 200062, P. R. China;

Corresponding author：

Keywords：

彩色多普勒超声; 甲状腺结节; 甲状腺癌

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

【摘要】　目的　探讨彩色多普勒超声对临床甲状腺良恶性结节的诊断价值。　方法　对2007-2010年105例经手术病理证实的甲状腺结节患者资料进行回顾性分析，总结其声像图特征。　结果　 105例患者中，良性结节71例，甲状腺癌34例，超声诊断符合率81.9%，误诊18例（17.1%）。　结论　彩色多普勒超声是诊断甲状腺结节的首选影像学检查方法，但对良恶性结节的鉴别及微小癌的诊断有局限性。
【Abstract】　Objective　 To evaluate the value of color Doppler flow imaging in diagnosis of benign and malignant thyroid nodules. 　Methods　 We retrospectively analyzed the clinical data of 105 patients with thyroid nodules confirmed by pathology between 2007 and 2010 and summarized the ultrasonography results.　Results　 Among the 105 cases, 71 were benign nodules and 34 were malignant tumors. The overall diagnostic accordance rate was 81.9% with 18 cases (17.1%) of misdiagnosis.　Conclusion　 Ultrasonography is the first imaging modality for thyroid nodule examination, but it is limited in the diagnosis of microcarcinoma and in distinguishing malignant from benign nodules in the same thyroid.

Citation： WANG Yu,SHEN Huifang,YANG Huali. Diagnostic Value of Color Doppler Ultrasonography on Benign and Malignant Thyroid Nodules. West China Medical Journal, 2011, 26(4): 559-561. doi: Copy

1.	史轶繁. 协和内分泌和代谢学[M]. 北京: 科学出版社, 1999: 1062.
2.	Reading CC, Charboneau JW, Hay ID, et al. Sonography of thyroid nodules: a “classic pattern” diagnosis approach[J]. Ultras Quart, 2005, 21(3): 157-165.
3.	Jemal S, Murray T, Wsrd E, et al. Cancer statistics, 2005[J]. CA Cancer J Clin, 2005, 55(1): 10-30.
4.	Koike E, Noguchi S, Yamashita H, et al. Ultrasonographic characteristic of thyroid nodules: prediction of malignancy[J]. Arch Surg, 2001, 136(3): 334-337.
5.	梁建平, 张武. 彩色多普勒超声对甲状腺结节性病变诊断价值的评价[J]. 基础医学与临床, 1998, 18(4): 37-40.
6.	于铭, 王金华, 王建宏. 二维及彩色多普勒超声在结节性甲状腺肿诊断中应用[J]. 中国超声医学杂志, 2000, 16(8): 599-601.
7.	刘增波, 方平, 谭跃萍, 等. 彩色多普勒超声对甲状腺恶性肿瘤鉴别的多因素分析[J]. 中华超声影像学杂志, 2005, 14(2): 158-159.
8.	Rumack CM, Wilson SR, Charbimeau JW. Diagnostic Ultrasound[M]. 3rd edition. Singapore: Elsevier Pre Ltd., 2005: 743-749.
9.	Kakkos SK, Scopa CD, Chalmoukis AK, et al. Relative risk of cancer in sonographically detected thyroid nodules with calcifications[J]. J Clin Ultrasound, 2000, 28(7): 347-352.
10.	刘复生, 刘彤华. 肿瘤病理学[M]. 北京: 北京医科大学•中国协和医科大学联合出版社, 1997: 1325-1339.
11.	巴咏梅, 段云友, 罗二平, 等. 甲状腺恶性肿瘤超声诊断的价值及误诊分析[J]. 临床超声医学杂志, 2007, 9(10): 605-608.
12.	唐丽娜, 任永富, 阎若元, 等. 二维及彩色多普勒超声对甲状腺癌的诊断价值分析[J]. 中国超声医学杂志, 2003, 19(4): 266-268.
13.	Light GS Jr . Nodular goiter and benign and malignant neoplasm of the thyroid text book of surgery[M]. 15th ed. Philadephia: WB Saunders Company, 1997: 626-627.

1. 　史轶繁. 协和内分泌和代谢学[M]. 北京: 科学出版社, 1999: 1062.
2. 　Reading CC, Charboneau JW, Hay ID, et al. Sonography of thyroid nodules: a “classic pattern” diagnosis approach[J]. Ultras Quart, 2005, 21(3): 157-165.
3. 　Jemal S, Murray T, Wsrd E, et al. Cancer statistics, 2005[J]. CA Cancer J Clin, 2005, 55(1): 10-30.
4. 　Koike E, Noguchi S, Yamashita H, et al. Ultrasonographic characteristic of thyroid nodules: prediction of malignancy[J]. Arch Surg, 2001, 136(3): 334-337.
5. 　梁建平, 张武. 彩色多普勒超声对甲状腺结节性病变诊断价值的评价[J]. 基础医学与临床, 1998, 18(4): 37-40.
6. 　于铭, 王金华, 王建宏. 二维及彩色多普勒超声在结节性甲状腺肿诊断中应用[J]. 中国超声医学杂志, 2000, 16(8): 599-601.
7. 　刘增波, 方平, 谭跃萍, 等. 彩色多普勒超声对甲状腺恶性肿瘤鉴别的多因素分析[J]. 中华超声影像学杂志, 2005, 14(2): 158-159.
8. 　Rumack CM, Wilson SR, Charbimeau JW. Diagnostic Ultrasound[M]. 3rd edition. Singapore: Elsevier Pre Ltd., 2005: 743-749.
9. 　Kakkos SK, Scopa CD, Chalmoukis AK, et al. Relative risk of cancer in sonographically detected thyroid nodules with calcifications[J]. J Clin Ultrasound, 2000, 28(7): 347-352.
10. 　刘复生, 刘彤华. 肿瘤病理学[M]. 北京: 北京医科大学•中国协和医科大学联合出版社, 1997: 1325-1339.
11. 　巴咏梅, 段云友, 罗二平, 等. 甲状腺恶性肿瘤超声诊断的价值及误诊分析[J]. 临床超声医学杂志, 2007, 9(10): 605-608.
12. 　唐丽娜, 任永富, 阎若元, 等. 二维及彩色多普勒超声对甲状腺癌的诊断价值分析[J]. 中国超声医学杂志, 2003, 19(4): 266-268.
13. 　Light GS Jr . Nodular goiter and benign and malignant neoplasm of the thyroid text book of surgery[M]. 15th ed. Philadephia: WB Saunders Company, 1997: 626-627.

West China Medical Journal

Diagnostic Value of Color Doppler Ultrasonography on Benign and Malignant Thyroid Nodules

Abstract Full text Figures/Tables Video References Cited by

Format

Content