Iko B O
Trop Geogr Med. 1986 Mar;38(1):21-7.
Thyroid ultrasonography was performed on a combined series of 108 patients over a four-year period. Ultrasonography enabled superb visualisation of the neck, specifically the thyroid, and discriminated solitary from diffuse thyroid abnormalities and segregated these into cystic, solid or 'complex' patterns. Sonographic-pathological correlation was obtained in 38 cases, consisting of 14 follicular adenomas, 11 goitres, 3 Hashimoto thyroiditis, 6 colloid cysts and 4 carcinomata; the clinical course confirmed 11 cases of Graves' disease for a total of 49 confirmed cases. The sonographic patterns lack histological specificity; however, a pattern recognition approach can be developed to better select patients for surgery. Such an approach appears suitable in tropical Africa, where radionuclide imaging may not be available. Diagnostic ultrasound is affordable, versatile and efficacious and without any known biological risks. A plea is made for its increased availability.
在四年时间里，对108例患者进行了甲状腺超声检查。超声检查能够清晰地显示颈部，特别是甲状腺，并区分孤立性与弥漫性甲状腺异常，并将其分为囊性、实性或“混合性”模式。在38例病例中获得了超声与病理的相关性，包括14例滤泡性腺瘤、11例甲状腺肿、3例桥本甲状腺炎、6例胶样囊肿和4例癌；临床过程确诊了11例格雷夫斯病，共计49例确诊病例。超声模式缺乏组织学特异性；然而，可以开发一种模式识别方法，以更好地选择手术患者。这种方法在热带非洲似乎是合适的，因为那里可能无法进行放射性核素成像。诊断性超声价格低廉、用途广泛且有效，并且没有任何已知的生物风险。呼吁增加其可及性。
