甲状腺附带瘤:食道癌患者的发病率和瘤影响
Jasmijn R van Doesburg1,2,3, Marianne C Kalff2, Daan M Voeten1,2
1Department of Surgery, Amsterdam UMC, Location Vrije Universiteit, Amsterdam, The Netherlands.
Digestive surgery
|September 7, 2023
概括
在食道癌患者中,甲状腺意外瘤很少显著. 只有0.9%的偶然瘤是原发性甲状腺癌,很少改变治疗. 进一步的评估取决于临床背景和TI-RADS.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 内分泌学 在内分泌学.
背景情况:
- 甲状腺偶发性瘤经常在食道癌成像期间被检测出来.
- 这些偶发性瘤的临床意义在很大程度上仍未确定.
- 这项研究调查了食道癌患者甲状腺意外瘤的发生率和原因.
研究的目的:
- 为了确定甲状腺附带瘤在接受食道癌症治疗的患者中的发病率.
- 调查这些偶发性瘤的瘤学意义和病因.
- 为临床决策提供信息,以进一步评估偶然的甲状腺发现.
主要方法:
- 在2012-2016年间诊断的1110名食道癌患者的回顾性审查.
- 对甲状腺意外瘤的放射学和多学科团队报告的分析.
- 重新评估成像 (18FDG-PET/CT或CT) 的放射科医生确认的偶发性瘤.
主要成果:
- 在10.4%的患者中报告了甲状腺附带瘤 (11,110人中有115人).
- 两种瘤是恶性的:一种是食道转移 (0.9%) 和一种是甲状腺原发性癌 (0.9%).
- 只有原发性甲状腺癌导致治疗策略的改变.
结论:
- 在食道癌患者的甲状腺附带瘤具有较低的瘤学意义.
- 进一步的病因学研究应以TI-RADS分类和潜在的临床影响为指导.
- 在这个队列中,对所有甲状腺附带瘤进行常规广泛的检查是不必要的.
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