甲状腺的双金字塔叶:报告了两个连续的病例,涉及手术和瘤
Enver Tansu Ağar1, Cemil Yüksel1
1Department of Surgical Oncology, University of Health Sciences Mersin Training and Research Hospital, Korukent Mah. 96015 Sok., Mersin Entegre Sağlık Kampüsü, 33240 Toroslar, Mersin, Türkiye.
Journal of surgical case reports
|February 10, 2026
概括
双金字塔叶 (PL) 是一种罕见的甲状腺变异. 识别这种异常对于完全的甲状腺切除术至关重要,特别是在甲状腺癌病例中,以确保最佳的患者结果.
科学领域:
- 解剖学的变化 解剖学的变化
- 手术解剖学手术解剖学
- 内分泌学 在内分泌学.
背景情况:
- 金字塔叶 (PL) 是甲状腺的一个常见的胚胎残留物.
- 双PLs代表了一个非常罕见的解剖学变异.
- 如果无法识别PLs,可能导致甲状腺切除术不完整,影响甲状腺恶性瘤的瘤结果.
研究的目的:
- 报告在手术期间发现的连续两例双金字塔叶的病例.
- 为了突出这一异常的潜在低识别.
- 强调对完全甲状腺切除术进行系统性探索的重要性.
主要方法:
- 两名双重PL患者的病例报告.
- 在手术期间识别并完全切除双PLs.
- 对手术前超声波检查结果的审查.
主要成果:
- 在2天的间隔内,在两个连续的患者中确定并切除了两个不同的双重PL.
- 在这两种情况下,手术前超声波检测都未能检测到PLs.
- 最终的病理学证实了一名患者的乳头甲状腺癌.
结论:
- 连续两起病例的发生表明,双重PL可能未被认可.
- 在甲状腺手术期间,对喉前区域进行系统的探索是必不可少的.
- 确保完全切除PLs对于在甲状腺切除术中获得最佳瘤结果至关重要.
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