Ultrasound in cervical traumatic neuromas after neck dissection in thyroid carcinoma patients: descriptive analysis and diagnostic accuracy.

التفاصيل البيبلوغرافية
العنوان:	Ultrasound in cervical traumatic neuromas after neck dissection in thyroid carcinoma patients: descriptive analysis and diagnostic accuracy.
المؤلفون:	Marcos VN; Universidade de São Paulo, Instituto do Câncer do Estado de São Paulo (Icesp), Departamento de Radiologia, Unidade de Ultrassom, São Paulo, SP, Brasil, viniciusnevesm@gmail.com., Danilovic DLS; Universidade de São Paulo, Instituto do Câncer do Estado de São Paulo (Icesp), Departamento de Endocrinologia, São Paulo, SP, Brasil., Pereira FL; Universidade de São Paulo, Instituto de Radiologia (InRad), Hospital das Clínicas, Departamento de Radiologia, Unidade de Ultrassom, São Paulo, SP, Brasil., Tsunemi MH; Universidade Estadual Paulista (Unesp), Departamento de Bioestatística, Botucatu, SP, Brasil., Kulcsar MAV; Universidade de São Paulo, Instituto do Câncer do Estado de São Paulo (Icesp), Departamento de Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brasil., Hoff AO; Universidade de São Paulo, Instituto do Câncer do Estado de São Paulo (Icesp), Departamento de Endocrinologia, São Paulo, SP, Brasil., Domingues RB; Universidade de São Paulo, Instituto do Câncer do Estado de São Paulo (Icesp), Departamento de Patologia, São Paulo, SP, Brasil., Chammas MC; Universidade de São Paulo, Instituto de Radiologia (InRad), Hospital das Clínicas, Departamento de Radiologia, Unidade de Ultrassom, São Paulo, SP, Brasil., de Freitas RMC; Universidade de São Paulo, Instituto do Câncer do Estado de São Paulo (Icesp), Departamento de Radiologia, Unidade de Ultrassom, São Paulo, SP, Brasil.
المصدر:	Archives of endocrinology and metabolism [Arch Endocrinol Metab] 2023 May 25; Vol. 67 (5), pp. e000633.
نوع المنشور:	Journal Article
اللغة:	English
بيانات الدورية:	Publisher: Segmento Farma Editores Country of Publication: Brazil NLM ID: 101652058 Publication Model: Print Cited Medium: Internet ISSN: 2359-4292 (Electronic) Linking ISSN: 23593997 NLM ISO Abbreviation: Arch Endocrinol Metab Subsets: MEDLINE
أسماء مطبوعة:	Original Publication: São Paulo, SP : Segmento Farma Editores
مواضيع طبية MeSH:	Thyroid Neoplasms/diagnostic imaging , Thyroid Neoplasms/surgery , Thyroid Neoplasms/pathology , Neuroma/diagnostic imaging , Neuroma*/pathology, Humans ; Neck Dissection ; Retrospective Studies ; Lymphatic Metastasis ; Neck/diagnostic imaging ; Neck/pathology ; Lymph Nodes/diagnostic imaging ; Lymph Nodes/pathology ; Ultrasonography
مستخلص:	Objective: Cervical traumatic neuromas (CTNs) may appear after lateral neck dissection for metastatic thyroid carcinoma. If they are misdiagnosed as metastatic lymph nodes (LNs) in follow-up neck ultrasound (US), unnecessary and uncomfortable fine-needle aspiration biopsy are indicated. The present study aimed to describe US features of CTNs and to assess the US performance in distinguishing CTNs from abnormal LNs. Subjects and Methods: Retrospective evaluation of neck US images of 206 consecutive patients who had lateral neck dissection as a part of thyroid cancer treatment to assess CTN´s US features. Diagnostic accuracy study to evaluate US performance in distinguishing CTNs from abnormal LNs was performed. Results: Eight-six lateral neck nodules were selected for analysis: 38 CTNs and 48 abnormal LNs. CTNs with diagnostic cytology were predominantly hypoechogenic (100% vs . 45%; P = 0.008) and had shorter diameters than inconclusive cytology CTNs: short axis (0.39 cm vs . 0.50 cm; P = 0.03) and long axis (1.64 cm vs . 2.35 cm; P = 0.021). The US features with the best accuracy to distinguish CTNs from abnormal LNs were continuity with a nervous structure, hypoechogenic internal lines, short/long axis ratio ≤ 0.42, absent Doppler vascularization, fusiform morphology, and short axis ≤ 0.48 cm. Conclusion: US is a very useful method for assessing CTNs, with good performance in distinguishing CTNs from abnormal LNs.
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فهرسة مساهمة:	Keywords: Neuroma; neck dissection; thyroid neoplasms; ultrasonography
تواريخ الأحداث:	Date Created: 20230530 Date Completed: 20230601 Latest Revision: 20231124
رمز التحديث:	20231215
مُعرف محوري في PubMed:	PMC10665048
DOI:	10.20945/2359-3997000000633
PMID:	37249461
قاعدة البيانات:	MEDLINE

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تدمد:	2359-4292
DOI:	10.20945/2359-3997000000633