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objective to analyze the ct appearance of thyroid carcinoma and the differential diagnosis of various thyroid disease.methods 83 cases of thyroid carcinoma and 119 cases of various benign disease with surgical and pathologically proved were analyzed retrospectively.results the ct findings of 83 cases of thyroid carcinoma include:ill defined nodules boundary (n=62),irregular necrosis(n=59),cystic(n=23),"peninsula" enhancing tubercles around the tumour(n=25),"mastoid" tubercles around the tumour(n=11),calcification(n=55) including large scale(n=27) and local(n=28),trachea invasion(n=15),neck or supraclavicular lymph node metastasis(n=27),the accurate of ct to differentia benignancy from malignancy on thyroid disease was 93.6%(189/202).conclusions "peninsula" enhancing tubercles was the characteristic sing of thyroid carcinoma,"mastoid" enhancing tubercles or large scale calcification was the affirmative sign,the ct signs was vary useful to differentiating thyroid disease.

摘 要]目的:分析甲状腺癌的ct表现及鉴别诊断要点。方法:回顾性分析经手术病理证实的83例甲状腺癌和119例甲状腺良性病变的ct表现,归纳总结不同病变的ct特征。结果:83例甲状腺癌中:边界不清62例,不规则坏死59例,囊性变23例,出现"半岛状"强化结节25例,"乳头状"强化结节11例,钙化55例(其中弥漫性钙化27例、局灶钙化28例),侵犯气管15例,颈部或锁骨上淋巴结肿大27例,ct对甲状腺病变的良恶性鉴别诊断符合率93.6%(189/202)。结论:"半岛状"强化结节是甲状腺癌的特征性表现,"乳头状"强化结节及弥漫性钙化可做为甲状腺癌的肯定性征象,掌握各种甲状腺病变的ct表现特点,对病变的定性诊断及鉴别诊断具有重要意义。

Results: The mean UI in Chongqing district were higher than proper iodide standard defined by international Council for control of iodine deficiency disorders,and the UI in HT groups were significantly increased compared with Con(P.05). The thyrocele and ophthalmopathy in AITD became more and severer accompanying UI increasing, the rate of goiter and endocrine ophthalmopathy in high iodide AITD was significantly higher than PI AITD( P.05).In the meantime, the positive percentage of TGAb and TPOAb also increased evidently in HI compared with PI(P.05).Cytokine IL-1?

结果:三组患者的平均UI水平高于国际碘缺乏理事会规定的适碘范围,HT患者的UI水平较正常人显著升高(P.05);在AITD患者UI水平的升高伴随着甲状腺肿大、眼部并发症等临床症状的加重,高碘组与适碘组相比差异有显著性(P.05),且随着UI水平的提高,TGAb和TPOAb阳性百分率明显提高,不同UI水平各组间和每两组间有显著差异(P.05)。

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