Solbiati L, Volterrani L, Rizzatto G, Bazzocchi M, Busilacci P, Candiani F, Ferrari F, Giuseppetti G, Maresca G, Mirk P
Radiology. 1985 Apr;155(1):187-91. doi: 10.1148/radiology.155.1.3883413.
An ultrasound examination was performed in 401 patients who had isotopically cold, solitary lesions of the thyroid gland. Of the parameters studied, the level of echoes was the most useful in making the sonographic diagnosis: the rate of malignancy was extremely low both in hyperechoic and echo-free lesions. The presence of a peripheral, complete "halo" appeared to be helpful in differentiating benign lesions from malignant lesions. Approximately 20-25% of the lesions thought to be solitary on the radionuclide study were found to be multinodular on US. When fine-needle aspiration biopsy was used with US the need for surgical exploration of the thyroid gland was obviated in selected cases.
对401例甲状腺同位素冷结节、孤立性病变患者进行了超声检查。在所研究的参数中，回声水平对超声诊断最有用：高回声和无回声病变的恶性率极低。周边完整“晕环”的存在似乎有助于区分良性病变和恶性病变。放射性核素检查认为是孤立性的病变中，约20% - 25%在超声检查中发现为多结节性。当超声检查联合细针穿刺活检时，部分病例可避免甲状腺手术探查。
