乳头癌的罕见位置:甲状腺管囊
Mehmet Haciyanlı1, Selda Gücek Haciyanlı1, Serkan Karaisli1
1Clinic of General Surgery, Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey.
Turkish journal of surgery
|June 5, 2023
概括
甲状腺管囊 (TDC) 恶性瘤是罕见的. 在疑似病例中,手术期间的冷截面分析有助于早期诊断,并在手术前活检没有明确结果时指导治疗策略.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术病理学手术病理学
背景情况:
- 甲状腺管囊 (TDCs) 是由于甲状腺管不完全关闭而产生的.
- 在TDC中的恶性病是不常见的.
研究的目的:
- 突出罕见的恶性甲状腺管囊的诊断和手术管理方面的挑战.
- 强调在怀疑TDC恶性病的手术决策指导中手术内冷部位检查的实用性.
主要方法:
- 一个39岁的女性患有可触摸的部质量.
- 诊断工作包括部查,细针吸收活检 (FNAB) 和手术内冷部位检查.
- 通过Sistrunk程序进行手术切除,然后根据冷截面的发现进行全面甲状腺切除.
主要成果:
- 部查显示了可疑恶性TDC (不规则的边缘,血管化,化) 的发现.
- FNAB是没有诊断的.
- 冷截面检查证实了乳头癌,导致额外的全甲状腺切除术.
结论:
- 在临床或放射学上怀疑恶性TDC的早期诊断和手术策略中,冷部位分析至关重要,特别是当手术前活检是非诊断性的时.
- 术内冷切口可以通过在手术期间提供快速病理评估来预防治疗不足或过度治疗.
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