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| The Significance of Ultrasonic Aspect Ratio in Papillary Rhyroid Carcinoma With Different Maximum Diameters |
| Jiang Dongya |
| Jiaozuo Traditional Chinese Medicine Hospital,Ultrasonic Department,Jiaozuo 454000,China |
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Abstract Objective To study the detection of ultrasonic aspect ratio in papillary rhyroid carcinoma with different maximum diametersand its clinical significance. Methods The clinical data of 105 patients with papillary thyroid carcinoma were retrospectively analyzed.According to the maximum diameter（d）,they were divided into group A（37 cases,d≤1cm）,group B（35 cases,1cm<d<2cm）and group C（33 cases,d≥2cm）.The differences in aspect ratios under ultrasound were compared between the groups of patients,and analyze the metastasis or recurrence of cancer during the 2 years of follow-up,and analyze the prognostic value of aspect ratio papillary thyroid cancer patients. Results There was no significant difference in age,BMI index and gender among the three groups of patients（P>0.05）,the aspect ratio of group A>group B>group C,the difference was statistically significant（P<0.05）.The aspect ratio was not significantly correlated with pathological characteristics such as patient age and gender（P>0.05）,but was significantly correlated with disease stage,HER-2 expression,capsule invasion,and aspect ratio stage I<stage II<stage III,the difference is statistically significant（P<0.05）.Logistic multivariate regression analysis showed that HER-2 positive,disease stage III,capsule invasion,aspect ratio ≥1 were independent risk factors for recurrence or metastasis of papillary thyroid carcinoma after treatment（P<0.05）. Conclusion The aspect ratio detection under ultrasound can effectively assist the clinical diagnosis of papillary thyroid carcinoma.Its value decreases with the increase of the maximum diameter of the lesion,and the aspect ratio ≥1 is an independent risk factor for the recurrence or metastasis of the disease after treatment,and clinical attention should be paid.
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Received: 10 October 2020
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2021, Vol. 41 
