皮肤状甲状腺癌的宏小叶亚型:超声波发现和临床影响
Jiyun Oh1,2, Jung Hee Shin1, Soo Yeon Hahn1
1Department of Radiology and Center for Imaging Science, Thyroid Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Medicine
|October 28, 2024
概括
巨性乳头甲状腺癌 (MFS-PTC) 在超声波检查中通常呈良性,导致诊断延迟. 超声波的连续瘤生长是检测这种罕见的甲状腺癌亚型的关键.
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:
- 状甲状腺癌 (MFS-PTC) 的状甲状腺癌亚型因其稀有性而带来诊断挑战.
- 超声波 (美国) 对于初步评估至关重要,但MFS-PTC可以模仿良性结节.
研究的目的:
- 为了评估MFS-PTC的超声波特征.
- 评估MFS-PTC诊断和管理的临床影响.
主要方法:
- 追溯审查14个MFS-PTC病例,诊断时间超过16年.
- 分析手术前的美国特征,细针吸收 (FNA) 或核心针活检 (CNB) 结果 (贝塞斯达类别),以及最终的病理学.
主要成果:
- 大多数MFS-PTC结节显示平滑的边缘,是固体/主要是固体,与US相同,被归类为低或中等怀疑.
- 36.4%的贝塞斯达II或III类病例具有良性US外观和FNA/CNB结果,导致由于瘤生长而推迟手术 (中位数为31.3个月).
- 甲状腺外延伸和淋巴结转移发生在一个随访病例中;没有观察到远程转移或复发.
结论:
- MFS-PTC经常表现出良性超声波特征,使早期检测复杂化.
- 美国对瘤生长的连续监测对于识别MFS-PTC至关重要,因为FNA/CNB可能是错误的负.
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