Ultrasound features comparison between anaplastic thyroid carcinoma and papillary thyroid car-cinoma

doi:10.3877/cma.j.issn.1674-0793.2016.01.011

Abstract

Abstract:

Objective

To discuss the differences of ultrasound features between anaplastic thy-roid carcinoma and papillary thyroid carcinoma.

Methods

Patients were selected from January 2010 to June 2015 in our hospital for treatment and twelve patients with pathologically confirmed anaplastic thy-roid cancer as the observation group, another 35 cases over the same period with pathologically confirmed papillary thyroid carcinoma were selected as the control group. Clinical features and ultrasound character-istics of the two groups were analyzed.

Results

Women accounted for a large proportion of patients with thyroid cancer. Mean diameter of the disease was greater in anaplastic thyroid cancer patients, who were more likely to be lesions ratio <1, had higher micro calcification, less blood irregularity, more ultra-sound echo uniformity, and more blurred boundaries; all the above differences were statistically signifi-cant (P<0.05) . Characteristics of the two groups of patients with lesions in ultrasound morphology, vari-ants, echo, and contrast cystic capsule invasion were not statistically significant.

Conclusions

Thyroid cancer is female-dominated. Anaplastic thyroid cancer patients are generally with undifferentiated aspect ratios <1 and have a higher degree of microcalcifications, less irregular blood flow, more ultrasound echo uniformity, more fuzzy boundary characteristics, which is worthy of reference.

Key words: Thyroid neoplasms, Carcinoma, papillary, Ultrasonography

Qun Liu. Ultrasound features comparison between anaplastic thyroid carcinoma and papillary thyroid car-cinoma[J]. Chinese Archives of General Surgery(Electronic Edition), 2016, 10(01): 56-58.

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References 13

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组别	例数	年龄（岁， ± s）	性别[例(%)]		转移率[例(%)]	TNM分级[例(%)]
组别	例数	年龄（岁， ± s）	男	女	转移率[例(%)]	1	2	3	4
观察组	12	66.1±12.5	2(16.7)	10(83.3)	3(25.0)	0(0.0)	0(0)	0(0)	12(100.0)
对照组	35	67.2±11.7	6(17.1)	29(82.9)	11(31.4)	13(37.1)	10(28.6)	8(22.9)	4(11.4)
统计值	?	1.640	1.320		0.021	?	7.158		?
P值	?	0.109	0.259		0.776	?	0.008^a		?

组别	例数	年龄（岁， ± s）	性别[例(%)]		转移率[例(%)]	TNM分级[例(%)]
组别	例数	年龄（岁， ± s）	男	女	转移率[例(%)]	1	2	3	4
观察组	12	66.1±12.5	2(16.7)	10(83.3)	3(25.0)	0(0.0)	0(0)	0(0)	12(100.0)
对照组	35	67.2±11.7	6(17.1)	29(82.9)	11(31.4)	13(37.1)	10(28.6)	8(22.9)	4(11.4)
统计值	?	1.640	1.320		0.021	?	7.158		?
P值	?	0.109	0.259		0.776	?	0.008^a		?

组别	例数	直径（cm, ± s)	纵横比［例(%)］		微钙化［例(%)］		血流情况［例(%)］		边界［例(%)］
组别	例数	直径（cm, ± s)	<1	≥1	是	否	少血流	多血流	清晰	模糊
观察组	12	5.36±1.17	10(83.3)	2(16.7)	1(8.3)	11(91.7)	2(16.7)	10(83.3)	0(0)	12(100.0)
对照组	35	1.73±1.36	19(54.3)	16(45.7)	12(34.3)	23(65.7)	13(37.1)	22(62.9)	28(80.0)	7(20.0)
统计值	?	5.267	4.869		4.591		4.265^a		6.537
P值	?	0.000^a	0.028^a		0.031^a		0.035		0.011^a
组别	回声均匀性［例(%)］		形态［例(%)］		囊性变［例(%)］		回声［例(%)］		被膜［例(%)］
组别	均匀	非均匀	规则	不规则	实性	囊实性	低回声	中等回声	受侵	未受侵
观察组	3(25.0)	9(75.0)	1(8.3)	11(91.7)	0(0.0)	12(100.0)	12(100.0)	0(0)	4(33.3)	8(66.7)
对照组	16(45.7)	19(54.3)	5(14.3)	30(85.7)	2(5.7)	33(94.3)	31(88.6)	4(11.4)	10(28.6)	25(71.4)
χ²值	4.106		2.680		2.139		2.872		2.964
P值	0.039^a		0.134		0.156		0.097		0.082

组别	例数	直径（cm, ± s)	纵横比［例(%)］		微钙化［例(%)］		血流情况［例(%)］		边界［例(%)］
组别	例数	直径（cm, ± s)	<1	≥1	是	否	少血流	多血流	清晰	模糊
观察组	12	5.36±1.17	10(83.3)	2(16.7)	1(8.3)	11(91.7)	2(16.7)	10(83.3)	0(0)	12(100.0)
对照组	35	1.73±1.36	19(54.3)	16(45.7)	12(34.3)	23(65.7)	13(37.1)	22(62.9)	28(80.0)	7(20.0)
统计值	?	5.267	4.869		4.591		4.265^a		6.537
P值	?	0.000^a	0.028^a		0.031^a		0.035		0.011^a
组别	回声均匀性［例(%)］		形态［例(%)］		囊性变［例(%)］		回声［例(%)］		被膜［例(%)］
组别	均匀	非均匀	规则	不规则	实性	囊实性	低回声	中等回声	受侵	未受侵
观察组	3(25.0)	9(75.0)	1(8.3)	11(91.7)	0(0.0)	12(100.0)	12(100.0)	0(0)	4(33.3)	8(66.7)
对照组	16(45.7)	19(54.3)	5(14.3)	30(85.7)	2(5.7)	33(94.3)	31(88.6)	4(11.4)	10(28.6)	25(71.4)
χ²值	4.106		2.680		2.139		2.872		2.964
P值	0.039^a		0.134		0.156		0.097		0.082

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