Ma Bu Yun, Parajuly Shyam Sundar, Ying Shu Xue, Lan Peng Yu
J Pak Med Assoc. 2014 Aug;64(8):954-7.
Ultrasound guided fine needle aspiration biopsy (FNAB) is the first-line procedure in diagnosing thyroid nodules. However, emerging studies have reported its unsatisfactory cell sample for cytology evaluation. In this case report, shear wave elastography (SWE) guided FNAB on a thyroid nodule is presented. Biopsies were performed on both hard and soft areas of the same nodule on the SWE image. Cytological results demonstrated the sufficient diagnostic components and typical nuclear features of papillary carcinoma found on the specimen from the hard area. This case study indicates SWE is a useful complementary tool to conventional B-mode ultrasound in guiding thyroid nodule FNAB.
超声引导下细针穿刺活检（FNAB）是诊断甲状腺结节的一线方法。然而，越来越多的研究报告称其用于细胞学评估的细胞样本并不理想。在本病例报告中，展示了剪切波弹性成像（SWE）引导下对甲状腺结节进行的FNAB。在SWE图像上对同一结节的硬区和软区都进行了活检。细胞学结果显示，从硬区标本中发现了乳头状癌足够的诊断成分和典型的核特征。本病例研究表明，SWE是传统B超引导甲状腺结节FNAB的一种有用的辅助工具。
