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犬舌骨下异位甲状腺癌的计算机断层扫描特征

Computed tomographic features of basihyoid ectopic thyroid carcinoma in dogs.

作者信息

Rossi F, Caleri E, Bacci B, Drees R, Groth A, Hammond G, Vignoli M, Schwarz T

机构信息

Clinica Veterinaria dell'Orologio, Via Gramsci 1/4 40037 Sasso Marconi.

出版信息

Vet Radiol Ultrasound. 2013 Nov-Dec;54(6):575-81. doi: 10.1111/vru.12060. Epub 2013 Jun 23.

Abstract

Eight dogs with a firm, nonpainful swelling in the ventral laryngeal region and with a final diagnosis of ectopic thyroid carcinoma were investigated by Computed Tomography (CT) at six different institutions. Computed Tomography findings were reviewed, focusing on lesion volume, shape, margins, relationship with surrounding structures and adjacent vessels, attenuation characteristics, and presence of metastases. Ectopic thyroid carcinomas were seen as oval-to-bilobed masses centered on the basihyoid bone with associated bone lysis, highly vascularized capsules with central poorly contrast enhancing areas. In all cases there was laryngeal wall infiltration, in two dogs invasion of the laryngeal lumen and in one case invasion of the ventral muscular and subcutaneous plane. Metastases were found in retropharyngeal lymph nodes (three cases) and in the lung (two cases). Ectopic thyroid carcinoma should be considered in the differential diagnosis when a mass in the basihyoid region is present. Described CT features may be typical for ectopic thyroid neoplasia and could be used to help decide the therapeutic plan.

摘要

八只在喉腹侧区域有质地坚硬、无压痛性肿胀且最终诊断为异位甲状腺癌的犬,在六个不同机构接受了计算机断层扫描(CT)检查。回顾了计算机断层扫描结果,重点关注病变体积、形状、边缘、与周围结构及相邻血管的关系、衰减特征以及转移情况。异位甲状腺癌表现为以舌骨为中心的椭圆形至双叶形肿块,伴有相关骨质溶解,有高度血管化的包膜,中央强化程度低。所有病例均有喉壁浸润,两只犬有喉腔侵犯,一例有腹侧肌肉和皮下平面侵犯。在咽后淋巴结发现转移(三例),在肺发现转移(两例)。当舌骨区域出现肿块时,鉴别诊断应考虑异位甲状腺癌。所描述的CT特征可能是异位甲状腺肿瘤的典型表现,可用于帮助确定治疗方案。

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