欢迎来到天天文库
浏览记录
ID:37253630
大小:1.35 MB
页数:4页
时间:2019-05-20
《甲状腺结节伴钙化与甲状腺癌》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、·专家讲座·甲状腺结节伴钙化与甲状腺癌*吴钢蔡端(复旦大学附属华山医院外科上海200040)摘要近年来甲状腺癌的发病率明显上升,随着高频超声检查的广泛应用,甲状腺结节伴钙化与甲状腺癌的关系日益得到重视。甲状腺结节伴钙化既可见于良性甲状腺疾病,亦可见于甲状腺癌,但后者更为常见。在各种类型的钙化中,微钙化与甲状腺癌,特别是甲状腺乳头状癌的关系最为密切,而且微钙化被认为是超声检查诊断甲状腺癌的特异性指标之一。甲状腺癌结节伴钙化,尤其是微钙化的机制目前尚未完全明确。对甲状腺结节伴钙化的诊断受超声仪器,探头频率及操作者的影
2、响。虽然超声检查诊断对甲状腺癌特异性高,发现甲状腺结节伴钙化时,需结合其他参数才能提高诊断的准确性,必要时行细针穿刺活检。关键词甲状腺癌钙化超声诊断中图分类号:R736.1文献标识码:A文章编号:1006-1533(2013)24-0003-04ThyroidnodulewithcalcificationandthyroidcancerWUGang,CAIDuan(HuashanHospital,FudanUniversity,Shanghai200040,China)ABSTRACTTheincidenceof
3、thyroidcancerhasbeennoticeablyincreasinginrecentyears.Withthewidespreaduseofhigh-frequencyultrasoundandin-depthresearchonthyroidcalcification,acloseassociationhasbeendemonstratedbetweencalcificationandthyroidcancer.Thyroidcalcificationcanoccurinbothbenignandm
4、alignantthyroiddiseases,butahigherpercentageofnodulescomplicatedbycalcificationhasbeendescribedinthyroidcancercomparedwithbenignnodules,andthespecificityofmicrocalcificationonultrasoundformalignancyishigh.Ofthevariousformsofcalcification,microcalcificationsee
5、mstobemostcloselycorrelatedwiththyroidcancer,especiallypapillarycancer,andisthereforeregardedasaspecificmarkerofmalignancy.Itisnotfullyunderstoodwhythyroidcancerisoftencomplicatedbycalcification,andinparticularmicrocalcification.Furthermore,theresultsofdiagno
6、sismaybeaffectedbythequalityoftheultrasoundequipmentused,thetransducerfrequency,andwhetherultrasoundinterpretationisbasedonstaticorreal-timeimaging.Nosingleultrasoundfeatureisadequatelysensitivetoidentificationofallmalignantthyroidnodules,indicatingtheneedfor
7、fine-needleaspiration.KEYWORDSthyroidcancer;calcification;ultrasound*作者简介:吴钢,男,副主任医师,副教授,硕导,博士。擅长外科肝胆、甲状腺及胃肠道肿瘤的诊治,胆结石症的腹腔镜治疗和胆总管残余结石的胆道镜治疗。病中医一体化菜单式服务。目前开展中药、针灸、推拿、同时,按照以人为本理念,通过加强文化建设,谋划职业火罐、敷贴、耳穴、熏洗、穴位注射等8种中医药适宜前景,凸现人文关怀,构建干群“连心桥”,医护人员职技术服务,并逐渐下沉到站点,广受社区居民
8、欢迎。业“幸福感”明显提高,职工满意度达到100.0%。面临新一轮医疗卫生服务改革要求,长征镇社区卫2.6畅通医患沟通渠道生服务中心将继续发扬“长征精神”,立足社区、以人为中心通过美化服务环境、优化服务流程,注重细节管本,团结协作、奋力进取、顽强拼搏,执着追梦,全力理,设立满意度自助评价器,为前来就诊的患者提供一个打造服务流程更优化、服务功能更完善、服务质量更优“群众直评
此文档下载收益归作者所有