Diagnostic value of ultrasound in parathyroid nodules
10.3969/j.issn.1673-9701.2023.36.013
- VernacularTitle:超声对甲状旁腺结节的诊断价值
- Author:
Ruoxuan LIN
1
;
Lina TANG
;
Weiqin HUANG
;
Xiaohui KE
Author Information
1. 福建医科大学肿瘤临床医学院 福建省肿瘤医院超声科,福建福州 350014
- Keywords:
Ultrasound;
Color doppler;
Parathyroid diseases;
Diagnosis;
Parathyroid hormone
- From:
China Modern Doctor
2023;61(36):54-57
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical value of ultrasound on parathyroid nodules.Methods A total of 93 patients(102 nodules)with parathyroid lesions admitted to Fujian Cancer Hospital from September 2007 to April 2023 and confirmed by postoperative pathology were retrospectively studied.Results There were 102 nodules in the 93 patients,including 80 parathyroid adenomas(78.43%),15 parathyroid hyperplasias(14.71%),2 parathyroid cysts(1.96%)and 5 parathyroid carcinomas(4.90%).A total of 90 nodules(88.24%)were detected by ultrasound,and most nodules were located on the dorsal side of the lower part of the thyroid gland.Among them,parathyroid adenoma and parathyroid hyperplasia showed low echo,clear boundary,uneven internal echo and abundant blood flow signals.Parathyroid cyst showed no echo,clear boundary,uniform internal echo and no obvious blood flow signal.Parathyroid carcinoma is mostly hypoechoic,with unclear boundary,uneven internal echo and rich blood flow signal.Parathyroid hormone(PTH)detection was performed in all 93 patients after surgery,except for 2 patients with metastatic parathyroid carcinoma,and 91 patients with metastatic parathyroid carcinoma.Conclusion Ultrasound is valuable in clinical diagnosis of parathyroid disease.
