超声波扫描用于诊断一次性甲状腺淋巴瘤
Xiaolei Xue1, Liping Wu1, Jinqing Zhang2
1Department of Ultrasound, Shandong Provincial Third Hospital, Shandong University, Jinan, China.
Clinical hemorheology and microcirculation
|August 23, 2024
概括
在老年患者中,原发性甲状腺淋巴瘤 (PTL) 患有哈西莫托甲状腺炎,通常呈现为快速增长的部质量. 超声波显示了带有线性回声链和后部增强的低声损伤,表明PTL.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
背景情况:
- 初级甲状腺淋巴瘤 (PTL) 是一种罕见的恶性瘤.
- 哈西莫托甲状腺炎 (HT) 是已知的PTL风险因素.
- 早期诊断PTL对于有效管理至关重要.
研究的目的:
- 总结PTL的临床和超声波特征.
- 确定PTL的关键诊断方面.
- 为了提高PTL的诊断准确度.
主要方法:
- 对11名PTL患者的回顾性分析.
- 对临床数据和超声检查结果的审查.
- 通过超声波引导的核心针活检或手术切除进行病理确认.
主要成果:
- 患者的平均年龄为64.45岁.
- 常见表现:迅速扩大的部质量 (6/11名患者).
- 所有患者都有同时存在的哈西莫托甲状腺炎.
- 超声检测结果包括扩散不均的低声帕伦基马 (扩散PTL),有明显边界的不规则结节性病变 (结节性/混合PTL),低声病变 (63.6%),线性回声链 (81.8%) 和后声增强 (90.9%).
结论:
- 高龄的HT患者甲状腺体体积迅速增加和部压缩症状应怀疑PTL.
- 典型的超声检测结果:极度低声损伤,线性回声链和后背回声增强.
- 对于怀疑PTL,建议进行核心针活检,以防止误诊.
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