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目的分析甲状腺微小乳头状癌的生长规律,初步探讨超声在其临床管理中的价值。方法回顾性分析124例甲状腺微小乳头状癌患者,定义病灶较首次超声检查出现任何一个径线增长≥3mm为病灶的增大,以≤3个月、3~6个月、6~12个月、>12个月作为时间分组,分别统计病灶增大比例及出现增大的时间段。结果 3.2%甲状腺微小乳头状癌患者出现病灶数目的增加,10.5%出现病灶的增大。病灶增大时间段有68.8%出现在3个月内,而在3个月内未出现明显增大的病灶,在以后的1年内也较少出现≥3mm的增长。结论超声可用于观察甲状腺微小乳头状癌的增长趋势,并为临床建议复查时间间隔。
Objective To analyze the growth of thyroid papillary carcinoma and to explore the value of ultrasound in its clinical management. Methods A retrospective analysis of 124 cases of thyroid papillary thyroid carcinoma in patients with defined lesions compared with the first ultrasound showed any increase in diameter of more than 3mm lesions, with ≤ 3 months, 3 to 6 months, 6 to 12 months ,> 12 months as a time group, respectively, the proportion of lesions increased and the increase of the time period statistics. Results 3.2% of the patients with thyroid papillary carcinoma showed an increase in the number of lesions and 10.5% of the lesions showed an increase. 68.8% of lesions increased in 3 months, but no obvious increase in lesions within 3 months and less than 3 mm in 1 year. Conclusion Ultrasound can be used to observe the growth trend of thyroid papillary carcinoma, and clinical review of the time interval.