دورية أكاديمية
Ultrasound in cervical traumatic neuromas after neck dissection in thyroid carcinoma patients: descriptive analysis and diagnostic accuracy.
العنوان: | Ultrasound in cervical traumatic neuromas after neck dissection in thyroid carcinoma patients: descriptive analysis and diagnostic accuracy. |
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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 |
تدمد: | 2359-4292 |
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DOI: | 10.20945/2359-3997000000633 |