通讯作者: 颜小斌, 1317370015@qq.com

DOI：10.12201/bmr.202602.00031

Clinical and ultrasound characteristics of thyroid follicular adenoma and follicular carcinoma

• 摘要：目的:研究甲状腺滤泡性腺瘤(follicular adenoma, FA)和甲状腺滤泡癌(follicular thyroid carcinoma, FTC)的临床及超声声像图特征。方法:选取2022年1月-2026年1月期间,于泉州市第一医院术前行甲状腺超声检查及术后病理确诊的患者作为研究对象,其中FA组61例、FTC组42例,分析比较FA及FTC患者的临床指标及超声声像图特征差异。结果:临床指标方面,两组患者的年龄、甲状腺球蛋白、抗甲状腺球蛋白抗体水平比较,差异有统计学意义(P＜0.05)；在超声表现上,两组结节的成分、内部回声、回声均匀性、钙化、声晕、声晕完整性、声晕厚度、血流分布、血流丰富程度比较,差异有统计学意义(P＜0.05)。结论:FA与FTC患者在临床及超声声像图特征上存在一定差异,对两者的诊断及鉴别诊断具有重要参考意义。

  关键词： 甲状腺滤泡性腺瘤; 滤泡癌; 超声特征; 超声诊断

   

  Abstract: AbstractObjective: To investigate the clinical and ultrasonographic characteristics of thyroid follicular adenoma (FA) and follicular thyroid carcinoma (FTC). Methods: A retrospective analysis was conducted on 103 patients who underwent thyroid ultrasonography and subsequent surgical pathology at the First Hospital of Quanzhou from January 2022 to January 2026. Among them, 61 patients were diagnosed with FA and 42 patients with FTC. Clinical data and ultrasonographic features were collected and compared between the two groups. Results: Statistically significant differences were identified between FA and FTC patients in terms of age, serum thyroglobulin levels, and anti-thyroglobulin antibody titers (all p < 0.05). Ultrasonographic evaluation revealed distinct disparities in nodule composition, internal echo, echo uniformity, calcification, acoustic halo presence and integrity, acoustic halo thickness, as well as blood flow distribution and abundance (p < 0.05 for each parameter).Conclusion: Clinical profiles and ultrasonographic features differ significantly between FA and FTC, suggesting these parameters can provide valuable reference points to improve diagnostic accuracy and facilitate differential diagnosis between follicular adenoma and follicular thyroid carcinoma.

  Key words: Follicular adenoma; Follicular thyroid carcinoma; Ultrasound characteristics; Ultrasonic diagnosis

  提交时间：2026-02-09

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2026-01-25	10.12201/bmr.202602.00031V1	下载

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