拉努拉的诊断困难:对18例病例的审查
Jun Yun1,2, Sunder Gidumal2, Michael P Saturno1,2
1THANC, (Thyroid, Head and Neck Cancer) Foundation at Mount Sinai, New York, New York, USA.
The Laryngoscope
|January 13, 2024
概括
诊断入的ranula是困难的,成像和活检往往是误导性的. 由于诊断不准确,外科医生应该与患者讨论潜在的修复手术.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 头部和部手术 头部和部手术
- 放射学 放射学是一门学科.
- 病理学 病理学 病理学
背景情况:
- 插入ranula尽管有先进的成像和细胞学,但存在诊断挑战.
- 准确的手术前诊断对于有效的手术规划至关重要.
研究的目的:
- 为了评估手术前成像和活检的诊断准确性,用于入ranula.
- 突出误导性结果的发生率及其对手术结果的影响.
主要方法:
- 18名患者的回顾性审查,诊断出入的ranula.
- 分析成像 (CT,MRI,超声波),细针吸收活检和病理学报告.
- 评估了手术结果和修复手术的需要.
主要成果:
- 计算机断层扫描 (CT) 和磁共振成像 (MRI) 的诊断准确率分别为73%和71%.
- 超声波和细针吸收活检 (FNAB) 在几个案例中提供了不确定的或不正确的诊断.
- 17%的患者由于诊断错误需要进行不适当的初始手术.
结论:
- 进行手术前成像和活检的方法并不是完全准确的.
- 由于潜在的诊断不准确,外科医生必须就修复手术的可能性向患者提供建议.
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