初级甲状腺淋巴瘤:一个多中心的回顾性审查.
Marie W Su1, Tim N Beck2, Jill Knepprath3
1Case Western Reserve University School of Medicine, 9501 Euclid Ave, Cleveland, OH, 44106, USA; Department of Surgery, MetroHealth Medical Center, 2500 MetroHealth Dr, Cleveland, OH, 44109, USA.
American journal of surgery
|August 30, 2024
概括
诊断原发性甲状腺淋巴瘤 (PTL) 很困难,大多数病例是在手术后发现的. 通过针活检等方法提前诊断可以改善这种罕见疾病的患者结果.
科学领域:
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
- 病理学 病理学 病理学
背景情况:
- 初级甲状腺淋巴瘤 (PTL) 是一种罕见的恶性瘤.
- 诊断PTL在临床实践中存在重大挑战.
研究的目的:
- 研究甲状腺原发性淋巴瘤的诊断方法,治疗策略和患者结果.
- 评估PTL不同诊断方法的有效性.
主要方法:
- 从1990年到2023年进行了一项多中心的回顾性研究.
- 对31名PTL患者的数据进行了分析,分析了诊断,治疗和结果.
主要成果:
- 甲状腺扩大是普遍的;压缩症状发生在68%的人中.
- 诊断通过甲状腺切除样本在58%和活检在42%的确诊.
- 化疗是主要治疗方法 (61%),死亡率为13%,复发率为3%.
结论:
- 在13%的病例中,仅实现了手术前PTL诊断.
- 针活检可能为早期PTL诊断和及时开始治疗提供机会.
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