Stark D D, Clark O H, Gooding G A, Moss A A
Surgery. 1983 Dec;94(6):863-8.
High-resolution ultrasonography and computed tomography examinations of the thyroid gland were compared with surgical inspection of the thyroid gland at the time of parathyroid surgery in 65 patients with hyperparathyroidism. Twenty-six patients (40%) had one or more nonpalpable thyroid lesions. Thirty benign thyroid lesions averaged 7 mm in size. A 5 mm follicular carcinoma and a 20 mm recurrent medullary carcinoma were also identified. Ultrasonography detected 88% (28/32), computed tomography detected 59% (19/32), and surgical inspection detected 84% (27/32) of the thyroid lesions. Preoperative ultrasonography with a 10 MHz small-parts real-time scanner is suited ideally to complement surgical inspection of the thyroid for delineation of small thyroid lesions in order to determine whether the lesions are solid or cystic and whether they are single or multiple. This information may be important to determine whether biopsy is necessary.
对65例甲状旁腺功能亢进患者在进行甲状旁腺手术时，将甲状腺的高分辨率超声检查和计算机断层扫描检查结果与甲状腺手术探查结果进行了比较。26例患者（40%）有一个或多个触诊不到的甲状腺病变。30个良性甲状腺病变平均大小为7毫米。还发现了1例5毫米的滤泡癌和1例20毫米的复发性髓样癌。超声检查发现了88%（28/32）的甲状腺病变，计算机断层扫描发现了59%（19/32），手术探查发现了84%（27/32）。术前使用10兆赫小部件实时扫描仪进行超声检查非常适合辅助甲状腺手术探查，以描绘小的甲状腺病变，从而确定病变是实性还是囊性，以及是单发还是多发。这些信息对于确定是否需要活检可能很重要。
