甲状腺langerhans细胞组织细胞增生症的超声声像图表现.pdf

中华医学超声杂志(电子版)2014年8月第¨卷第8期 ChinJMedUltrasound(ElectronicEdition),August2014,, 浅表器官超声影像学· 甲状腺Langerhans细胞组织细胞增生症的超声声像图表现齐振红戴晴李建初朱庆莉徐钟慧李文波姜玉新【摘要】目的探讨甲状腺Langerhans细胞组织细胞增生症(LCH)的超声声像图表现。方法回顾性分析5例甲状腺LCH患者甲状腺超声声像图表现,其中4例患者经病理学诊断,1例为临床诊断。结果甲状腺LCH超声声像图表现为:(1)甲状腺明显增大,弥漫回声减低,不均匀, 边界清或不清,彩色多普勒血流成像(CDFI):内见丰富血流信号;(2)甲状腺内见大小不等的结节样、片状和条状低回声,与正常甲状腺组织边界清,CDFI:内未见血流信号。结论甲状腺LCH 超声声像图无特异性,主要表现为明显增大、弥漫回声减低且不均匀。超声引导下细针抽吸细胞学检查对诊断甲状腺LCH有帮助,但诊断率低。【关键词】甲状腺;细胞增殖;超声检查 UltrasoundimagingofLangerhanscellhistiocytosisinvolvingthyroidQjZhenhong,DaiQing,LiJianchu,Zhu Qingli,XuZhonghui,LiWenbo,,PeMngUnionMedicalCollegeHospitalof theChineseAcademyofMedicalSciences, Correspondingauthor."JiangYuxin,Email:******@'l [Abstract] 0bjectiveToinvestigatetheultrasoundimagingofLangerhanscellhistiocytosisinvolving analyzedretrospectively,4werediagnosedbypathology,and1Wasdiagnosedthroughclinicalmanifestations. ResultsTwotypesofultrasoundimagingwereobservedinLangerhanscellhistiocytosisofthyroid:(1)The thyroidwassignificantlyenlarged,presenteddi任l吣eandheterogenoushypoechogenicitywithclearorunclearborder. ColorDopplerflowimaging(CDFI)showedabundantflowima~g.(2)odules,flakesandstripsin varyingsizesweredistributedinthethyroidwithclearbOundarybetweenthefociandnorma