The diagnostic value of ultrasonographic calcification on benign and malignant thyroid nodules
- VernacularTitle:超声下钙化特征对甲状腺良恶性结节的诊断价值分析
- Author:
Bing CAO
1
;
Li SHI
;
Haiyang PAN
;
Jing WANG
;
Gang WANG
Author Information
1. 江苏省徐州市肿瘤医院超声科
- Keywords:
Thyroid nodules;
Ultrasound;
Calcification;
Benign and malignant lesions;
Diagnostic value
- From:
China Modern Doctor
2018;56(13):101-104
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the diagnostic value of ultrasonographic calcification on benign and malignant thyroid nodules. Methods The clinical data of 133 thyroid nodules diagnosed in our hospital from January 2015 to June 2017 by ultrasound examination and surgical or biopsy were retrospectively analyzed. Compared the correlation between the characteristics of calcified foci of thyroid nodules and benign and malignant nodules. Results In 133 patients, 176 thyroid nodules were found by ultrasound, including 71 (40. 34％) nodules with calcification and 105 (59. 66％) nodules without calcification. A total of 112 benign nodules(63. 64％) and 64 malignant nodules(36. 36％) were found by pathological diagnosis. The incidence of malignant nodules in calcified thyroid nodules (77. 46％) was significantly higher than that in no-calcified thyroid nodules (7. 62％), and the difference was statistically significant (P＜0. 05). Among 38 nodules with calcified calcification, the incidence of malignant nodules was 94. 74％ (36/38); the incidence of malignant nodules in 23 nodules with calcified calcification was 47. 83％ (11/23) There was a statistically significant difference between the two groups(P＜0. 05). The incidence of calcification in malignant thyroid nodules was 87. 50％(56/64) significantly higher than that in benign thyroid nodules(13. 39％, 15/112) (P＜0. 05). Conclusion The characteristics of calcification under ultrasonography are of great value in the diagnosis of benign and malignant thyroid nodules. In particular, microcalcification calcification can be used as one of the specific indicators of screening for malignant thyroid nodules. It is worthy of clinical promotion.
