Chung Yong Eun, Kim Eun-Kyung, Kim Min Jung, Yun Mijin, Hong Soon Won
Department of Diagnostic Radiology and Research Institute of Radiological Science, Yonsei University College of Medicine, 134 Sinchon-dong, Seodaemum-gu, 120-752 Seoul, Korea.
Yonsei Med J. 2006 Oct 31;47(5):748-51. doi: 10.3349/ymj.2006.47.5.748.
Although high resolution ultrasonography (US) is helpful in the differentiation of suture granulomas from recurrent thyroid cancer in most cases, a definite diagnosis cannot always be made. We report a case that mimicked recurrent thyroid cancer on US and 2-[fluorine-18] fluoro-2-deoxy-D-glucose (FDG) positron emission tomography (PET), but diagnosis of a suture granuloma was confirmed by a US-guided fine needle aspiration biopsy (FNAB). In order to avoid unnecessary operations, the differential diagnosis between postoperative suture granulomas and recurrent cancer is important.
尽管在大多数情况下，高分辨率超声检查（US）有助于区分缝线肉芽肿与复发性甲状腺癌，但并非总能做出明确诊断。我们报告了一例在超声检查和2-[氟-18]氟-2-脱氧-D-葡萄糖（FDG）正电子发射断层扫描（PET）上酷似复发性甲状腺癌的病例，但经超声引导下细针穿刺活检（FNAB）确诊为缝线肉芽肿。为避免不必要的手术，术后缝线肉芽肿与复发性癌症之间的鉴别诊断很重要。
