Abstract:【Objective】To evaluate the reasons why thyroid cancer was diagnosed as TI-RADS grade 2-3 by ultrasonography and to improve the diagnosis accuracy of atypical thyroid cancer and reduce unnecessary misdiagnoses. 【Methods】We retrospectively analyzed the clinic data and the ultrasound image characteristics of 30 thyroid cancers diagnosed as TI-RADS grade 2-3 by ultrasonography. 【Results】A total of 30 thyroid tumors that were diagnosed as TI-RADS 2-3 grade by preoperative ultrasound were pathological classified as 17 cases of papillary thyroid micro carcinoma,3 cases of papillary carcinoma, 6 cases of follicular carcinoma , and 4 cases of medullary carcinoma after surgery; out of these, Hashimoto's thyroiditis was found in 11 cases. 【Conclusion】The reasons for thyroid cancer to be misdiagnosed as TI-RADS 2-3 grade are lumps within the complicated thyroid background, micro-cancer lesions associated with multiple benign nodules, and single atypical thyroid medullary carcinoma manifestation. Therefore,atypical thyroid nodules need further fine needle aspiration.
黄淑麟;刘亮;张超杰. 甲状腺癌超声诊断为TI-RADS 2-3类原因分析[J]. 医学临床研究, 2016, 33(12): 2298-2301.
HUANG Shu-lin, LIU Liang, ZHANG Chao-jie. Analysis of the Causes of Thyroid Cancer to be Diagnosed as TI-RADS Grade 2-3 by Ultrasonography. JOURNAL OF CLINICAL RESEARCH, 2016, 33(12): 2298-2301.
[1] Horvath E, Majlis S, Rossi R,et al.An ultrasonogram reporting system for thyroid nodules stratifying cancer risk for clinical management [J].J Clin Endocrnol Metab,2009,94(5):1748-1751. [2] Park JY,Lee HJ,Jang HW,et al.A proposal for a thyroid imaging reporting and data system for ultrasound features of thyroid carcinoma[J].Thyroid,2009,19(11):1258-1264. [3] Kwak JY,Han KH,Yoon JH,et al.Thyroid imaging reporting and data system for US features of nodules: a step in establishing better stratification of cancer risk [J].Radiology,2011,260(3):892-899. [4] 林振湖,林礼务,薛恩生,等.不同甲状腺背景下甲状腺癌误诊原因浅析[J].中华超声医学杂志,2015,31(5):385-387. [5] 李泉水,邓水平,陈胜华,等.超声对甲状腺癌漏误诊原因的探讨[J].中国超声医学杂志,2012,28(10):890-892. [6] 李娜,常才,陈敏,等.甲状腺髓样癌的超声特征分析[J].中华超声影像学杂志,2013,22(6):539-540. [7] 郞宏恂,张冰洁,戴军,等.甲状腺髓样癌超声征象分析[J].中国超声医学杂志,2013, 29(22):868-871.