超声对预测甲状腺乳头状癌颈部淋巴结转移的研究进展

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摘要颈部淋巴结转移为甲状腺乳头状癌（Papillary thyroid carcinoma，PTC）复发和远处转移危险因素，术前明确诊断可为临床手术方式的选择提供充分依据。常规超声对评估PTC颈部淋巴结转移具有一定优势，但诊断特异度高而敏感度低，尤其对中央区淋巴结转移。PTC原发癌结节的常规超声、超声造影及弹性成像特点对提高PTC颈部淋巴结转移的预测可能具有较高诊断价值。

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	丁珂
	严昆

关键词 ：甲状腺肿瘤；癌, 乳头状；淋巴转移；超声检查, 多普勒, 彩色

Abstract：Cervical lymph node metastasis of papillary thyroid carcinoma(PTC) is a risk factor for recurrence and distant metastasis. Preoperative diagnosis has a very significant impact on surgical type. Conventional ultrasound has a certain advantage in assessing cervical lymph node metastasis with high specificity, but the sensitivity is relatively low, especially on central compartment lymph node metastasis. PTC nodule characteristics of conventional ultrasound, contrast-enhanced ultrasonography and ultrasonic elastography may serve as a useful tool to predict cervical lymph node metastasis in PTC.

Key words： Thyroid neoplasms Carcinoma, papillary Lymphatic metastasis Ultrasonography, Doppler, color

收稿日期: 2016-01-14

PACS:	Ｒ736.1
	Ｒ730.261
	R445.1

基金资助:首都卫生发展基金（首发2016-2-2153）。

通讯作者: 严昆，北京大学肿瘤医院暨北京市肿瘤防治研究所超声科恶性肿瘤发病机制及转化研究教育部重点实验室，100142。 E-mail：ydbz@sina.com

作者简介: 丁珂（1991-），女，河南开封人，硕士研究生。E-mail：13051585301@163.com

引用本文:

丁珂，严昆. 超声对预测甲状腺乳头状癌颈部淋巴结转移的研究进展[J]. 中国临床医学影像杂志, 2016, 27(9): 663-666.
DING Ke, YAN Kun. Research advances of ultrasound in predicting cervical lymph node metastasis of papillary thyroid cancer. JOURNAL OF CHINA MEDICAL IMAGING, 2016, 27(9): 663-666.

链接本文:

http://www.jccmi.com.cn/CN/ 或 http://www.jccmi.com.cn/CN/Y2016/V27/I9/663

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