甲状腺良恶性肿瘤的螺旋CT鉴别诊断.pdfVIP

2008 4 24 4 J Pr ct R dio,l Apr. 2008, Vol. 24, No. 4 # 459# CT 1 1 2 2 葛琛瑾 , 舒 政 , 陆 磊 , 陈秋勤 ( 1; 2, 200082) : CT 50 CT , 50, 35, ; 15, 14, 1, , , , , , CT : , X ; ; : R736. 1; R 814. 42 : A : 1002- 1671( 2008) 04- 0459- 04 TheApplication of SpiralCT inDifferentialDiagnosis between Thyroid Benign andMalignantNeoplasm GE Chen - j in, SH U Zheng, L U Le,i CHEN Qiu - q in ( D ep artment of R adiolog , Shanghai TCM - IntegratedH osp ital , Shanghai 200082, China) Abstract: Objective T o exp lore the v lue of sp ir l CT in differenti tion bewt een benign nd m lign nt thyroid tum or. Methods CT find ings of thyroid tumor confirm ed by the p thology in 50 p tients, w ere retrospectively n lyzed nd in com p rison w ith the d t of oper - tion nd p thology. esults Therew ere ben ign tum or ( n= 35) nd m lign n t tumor ( n= 15) in th is study. A ll the benign tum orsw ere thy- roid denom . Them lign nt tum ors included thyroid c rcinom ( n= 14) nd lym phom ( n = 1). All the c ses of thyroid ben ign tum ors dem onstr ted cle rm rgin nd homogeneous enh ncem ent. Cystic re nd curviline r or m ss c lcific tion could be seen in som e c ses. Som e ch r cteristic signs, such s irregu l r tumor outline, fine discrete gr nu l r nd irregu l r c lcific tion, heterogeneous enh ncem ent, in- v ding neighbor structures nd cervic l lym ph nodem et st sis, could on ly been seen in thyroid m lign nt tum ors. Conclusion Spir l CT h s not ble dv nt ge in d ifferenti l d i gnosis bewt een ben ign nd m lign n t thyroid tum or. K ey words: tom ogr phy , X - r y com puted; thyroid ; thyroid neop l sm , P itch 1. 0, 5 mm , 5 mm CT ( 300