假阴性甲状腺活检:一个案例报告强调了超声波评估的重要性
Fernando Reyes San Martin1,2, Luis Chozet1,2, Maureen Koops1,2
1Department of Endocrinology, UT Health San Antionio, TX, USA.
Clinical medicine insights. Case reports
|January 29, 2026
概括
偶然的甲状腺结节 (ITNs) 可能是具有挑战性的诊断. 这一案例凸显了细针吸收 (FNA) 如何错过甲状腺淋巴瘤,强调了超声波和进一步活检对准确诊断的关键作用.
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:
- 先进的成像显示了更多的临时甲状腺结节 (ITN).
- 大多数ITN都是良性的,但恶性瘤风险评估至关重要.
- 专门的甲状腺超声波 (US) 建议用于ITN评估.
研究的目的:
- 报告一个偶然发现的甲状腺淋巴瘤病例.
- 为了突出细针吸收 (FNA) 的诊断局限性.
- 为了强调甲状腺美国和先进诊断的重要性.
主要方法:
- 一个66岁的男性患有FDG激烈的甲状腺质量病例报告.
- 使用正子发射断层扫描 (PET) 扫描和FNA进行初步评估.
- 随访甲状腺US,核心活检,流细胞计和免疫组织化学.
主要成果:
- 最初,FNA建议良性病理.
- 甲状腺US显示了淋巴瘤或肉瘤的可疑特征.
- 核活检证实了甲状腺小淋巴细胞B细胞淋巴瘤.
结论:
- 对于甲状腺淋巴瘤,FNA具有诊断限制.
- 甲状腺US对于识别可疑特征至关重要.
- 核心活检与辅助测试确保了准确的诊断和管理.
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