氧化酸晶体是良性甲状腺病变多重点性回声发作焦点的原因
Ayana Suzuki1, Mitsuyoshi Hirokawa2, Izumi Otsuka3
1Department of Diagnostic Pathology and Cytology, Kuma Hospital, 8-2-35 Shimoyamate-Dori, Chuo-Ku, Kobe, Hyogo, 650-0011, Japan. suzuki01@kuma-h.or.jp.
Journal of medical ultrasonics (2001)
|April 25, 2024
概括
良性甲状腺病变中的多点性回声发作焦点 (MPEF) 是由氧化晶体引起的,而不是psammoma体. 这一发现表明MPEF不是甲状腺癌的标志物.
科学领域:
- 内分泌学 在内分泌学.
- 病理学 病理学 病理学
- 放射学 放射学是指放射学
背景情况:
- 甲状腺超声波上的多重点性回声焦点 (MPEF) 可以表明在乳头甲状腺癌中存在psammoma体.
- 然而,MPEF也出现在良性甲状腺疾病中,需要区分.
研究的目的:
- 在患有良性甲状腺病变的患者中调查MPEF的起源,特别是Graves病 (GD) 和卵泡结节性疾病 (FND).
- 为了确定良性病变中的MPEF是否与恶性瘤指标相关.
主要方法:
- 对26名GD和24名FND患者的MPEF与没有MPEF的对照组进行比较分析,所有患者都接受了手术.
- 微观检查psammoma体和氧化 (CaOx) 晶体,与超声波发现相关.
主要成果:
- 在Graves病患者中,MPEF经常是双边和扩散的.
- 毛囊结节性疾病与MPEF往往呈现为固体病变与超声波中介怀疑.
- 在显微镜上,氧酸盐晶体,特别是100微米以上的晶体,在MPEF阳性良性病变中比对照人群更为普遍. 没有发现psammoma尸体.
结论:
- 格雷夫斯病和卵泡结节性疾病中的MPEF归因于较大的氧沙酸晶体,而不是psammoma体.
- 在良性甲状腺病变中存在MPEF并不表明恶性病变.
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