关节和耳朵的标志:在甲状腺手术后 suture 颗粒瘤的病理学性超声波特征
Pae Sun Suh1, So Yeong Jeong1,2, Jung Hwan Baek1
1Department of Radiology and Research institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Ultrasonography (Seoul, Korea)
|February 19, 2024
概括
超声波可以识别结颗粒瘤,与复发性瘤不同,使用独特的"结耳"外观. 这种成像技术有助于避免不必要的活检,因为它可以识别结颗粒瘤的典型特征.
科学领域:
- 放射学和成像学 放射学和成像学
- 手术病理学手术病理学
- 在瘤学瘤学.
背景情况:
- 粒瘤可以在成像上模仿复发性瘤.
- 准确的区分对于适当的患者管理和避免不必要的干预至关重要.
研究的目的:
- 调查临床和超声波 (US) 发现,区分针颗粒瘤与复发性瘤.
- 通过实验性研究,确定针颗粒瘤的美国特征.
主要方法:
- 对20个结颗粒瘤和40个复发性瘤进行了回顾性分析.
- 评估临床数据 (接材料,手术,TNM阶段) 和美国发现 (形状,大小,边缘,回声性,血管性,内部回声性焦点).
- 使用猪肉进行实验研究,以评估美国结的外观.
主要成果:
- 在50%的粒瘤中观察到"结耳"的外观,但在复发性瘤中没有 (P<0.001).
- 中央内部回声发作焦点 (68.8%) 和配对的外观 (75.0%) 在接颗粒瘤中更为频繁.
- 粒瘤显示较早的初始T和N阶段,并且在随访期间通常会缩小.
结论:
- "节点和耳朵"的外观是潜在的病理学美国发现粒瘤.
- 中央内部回声发作焦点与配对的外观是典型的美国特征.
- 识别这些美国特征可以防止不必要的活检或诊断手术怀疑复发性瘤.
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