Ultrasonographic Diagnosis of Thyroid Papillary Carcinoma Metastasis

Abstract

This study selected the medical record data of patients who underwent ultrasound examination and surgical treatment at Shaw Hospital, affiliated with Zhejiang University Medical College, from January 2018 to June 2020 and screened nine high-risk patients with thyroid papillary carcinoma and eight low-risk patients who met the enrollment criteria. The pathological and ultrasonic imaging data of the thyroid nodules and cervical lymph nodes of the enrolled patients were retrospectively analyzed. Clinicopathological aspects: age, number of lesions, lymph node area, and number of lymph nodes were significant. The younger the age, the higher the risk of cancer metastasis; the more the lymph node metastasis areas, the greater the number of lesions, and the higher the risk of cancer metastasis. An ultrasound image analysis of thyroid nodules showed that the number of microcalcifications and lesions was significantly and positively correlated with the risk of cancer metastasis. Ultrasonic image analysis of cervical lymph nodes showed that the indicators of cystic change, the number of calcifications, number of lymph node fusions, and number of clear lymph node boundaries were significantly and positively correlated with the risk of cancer metastasis. This study is crucial in the clinical diagnosis of thyroid papillary carcinoma metastasis and provides a theoretical basis for surgeons to formulate diagnosis and treatment plans for thyroid carcinoma.