诊断学理论与实践

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2020 , Vol. 19 >Issue 03: 269 - 273

DOI: https://doi.org/10.16150/j.1671-2870.2020.03.012

论著

甲状腺结核超声表现一例报道及文献复习

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  • 1.上海交通大学医学院附属瑞金医院卢湾分院 a. 超声科,b. 病理科, c. 普外科,上海 200020
    2.上海交通大学医学院附属瑞金医院超声科,上海 200025

收稿日期: 2019-11-04

  网络出版日期: 2020-06-25

基金资助

上海市黄浦区科研项目(HKM201801)

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Sonographic findings of thyroid tuberculosis: Report of a case and review of literature

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  • 1a. Department of Ultrasound, 1b. Department of Pathology, 1c. Department of General Surgery, Ruijin Hospital, Luwan Branch, Shanghai Jiao Tong University School of Medicine, Shanghai 200020, China
    2. Department of Ultrasound, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China

Received date: 2019-11-04

  Online published: 2020-06-25

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摘要

目的： 探讨甲状腺结核的常规超声及超声造影表现,以提高临床对该疾病的认识及诊断水平。方法： 分析1例甲状腺结核患者的常规超声特点、超声造影表现,并结合病理结果及文献进行讨论。结果： 常规超声检查提示甲状腺内2个形状不规则的结节,边缘不清晰,内部回声不均,内部无明显强回声,后方回声无明显改变;彩色多普勒超声见血供程度低。超声造影表现为不均匀低增强,呈现为慢进、快退。最终患者经细胞病理学检查诊断为甲状腺结核。结论： 甲状腺结核的超声表现缺乏特征性,易与甲状腺乳头状癌相混淆,明确诊断依赖于病理检查。

关键词： 甲状腺; 结核; 超声

本文引用格式

费圆欣, 况李君, 陆采葑, 李伟伟, 周伟, 周庆华 . 甲状腺结核超声表现一例报道及文献复习[J]. 诊断学理论与实践, 2020 , 19(03) : 269 -273 . DOI: 10.16150/j.1671-2870.2020.03.012

Abstract

Objective: To investigate the sonographic appearance of thyroid tuberculosis on conventional ultrasound and contrast-enhanced ultrasound (CEUS), so as to improve the understanding and diagnosis of the disease. Methods: The features on conventional ultrasound and CEUS of one case with thyroid tuberculosis were analyzed and reviewed with relevant literature and pathological findings. Results: On conventional ultrasound,it appeared as two inhomogeneously hypoechoic, irregular and ill-defined nodules without calcifications and no changes in the posterior echo was found. CEUS showed heterogeneous and low enhancement with slow wash-in and fast wash-out. The nodules were finally confirmed as thyroid tuberculosis by cytological examination. Conclusions: The sonographic appearance of thyroid tuberculosis is not specific, similar to the features of papillary thyroid carcinoma. The final diagnosis depends on pathological examination.

Key words： Thyroid; Tuberculosis; Ultrasound

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