原发性甲状腺淋巴瘤的超声表现特征分析

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Abstract Objective To summarize the characteristics of each type of image for primary thyroid lymphomas (PTLs), and to discuss the diagnosis and differential diagnosis of PTLs. Methods From August 2008 to May 2019, a total of 65 patients with PTLs confirmed by biopsy or pathology after preoperative ultrasound examination were retrospectively analyzed. The ultrasonic classification and sonographic features were discussed. Results Of the 65 patients with PTLs, 39 cases (60.0%) were diffuse type. The thyroid gland was enlarged in varying degrees, the capsule was intact, and the echo of thyroid parenchyma was diffusely decreased, showing heterogeneous hypoechoic to extremely low echo. No calcification or liquefaction was found in the lesions of all patients with diffuse PTLs. Abundant blood flow signals were detected in 28 cases (71.8%). Cervical lymph node enlargement was found in 22 cases (56.4%). 26 cases (40.0%) were non diffuse type with 47 lesions, of which 11 cases were single lesion, 15 cases were multiple lesions, 16 cases (61.5%) were hypoechoic, and 10 cases (38.5%) were extremely hypoechoic. 22 cases (84.6%) had irregular shape, hypoechoic or extremely hypoechoic lesions. 19 cases (73.1%) had abundant blood flow. Cervical lymph node enlargement was found in 19 cases (73.1%). Conclusion PTLs have certain ultrasonographic features. If necessary, biopsy or biopsy should be performed to avoid misdiagnosis and missed diagnosis.

Key words： Thyroid Lymphoma Pathological diagnosis Ultrasound

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	ZHANG Wei CHEN Qi LIU Hong▲

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ZHANG Wei CHEN Qi LIU Hong▲. Analysis of ultrasonographic features of primary thyroid lymphomas[J]. 中国医药导报, 2020, 17(28): 144-146,164.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I28/144

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