桥本甲状腺炎患者淋巴结在超声检查中的表现。
The presentation of lymph nodes in Hashimoto's thyroiditis on ultrasound.
作者信息
Jones Mark R, Mohamed Hossam, Catlin Jennifer, April Daniel, Al-Qurayshi Zaid, Kandil Emad
机构信息
Division of Endocrine and Oncological Surgery, Department of Surgery, Tulane University School of Medicine, New Orleans, LA, USA.
出版信息
Gland Surg. 2015 Aug;4(4):301-6. doi: 10.3978/j.issn.2227-684X.2015.05.11.
BACKGROUND
Comprehensive neck ultrasound (US) examination has become an essential component of preoperative workup for patients with thyroid cancer. Regional cervical lymph nodes may be involved in cases of Hashimoto's thyroiditis (HT). This study seeks to examine the sonographic pattern of lymph nodes in patients with HT.
METHODS
This is a retrospective study looking at patients with confirmed diagnoses of HT on final surgical pathology who underwent preoperative comprehensive neck US. We compared preoperative ultrasound for patients with HT to euthyroid patients with goiter. Data collected included number, size and ultrasonographic features of cervical lymph nodes.
RESULTS
We included a total of 417 patients: 202 patients with HT in the study group, and 215 patients with goiter and euthyroid status in the control group. Patients with HT had a higher number of total cervical lymph nodes than the control group (2.00±2.35 vs. 0.76±1.36 mm; P<0.0001), most notably in cervical levels III and IV (P<0.05 for both).
CONCLUSIONS
HT seems to be associated with an ultrasonographic pattern of increased number of enlarged cervical lymph nodes, particularly in levels III, and IV.
背景
对于甲状腺癌患者，颈部超声（US）全面检查已成为术前检查的重要组成部分。桥本甲状腺炎（HT）患者的颈部区域淋巴结可能受累。本研究旨在探讨HT患者淋巴结的超声特征。
方法
这是一项回顾性研究，研究对象为最终手术病理确诊为HT且术前行颈部超声全面检查的患者。我们将HT患者的术前超声检查结果与甲状腺功能正常的甲状腺肿患者进行了比较。收集的数据包括颈部淋巴结的数量、大小和超声特征。
结果
我们共纳入417例患者：研究组202例HT患者，对照组215例甲状腺肿且甲状腺功能正常的患者。HT患者的颈部淋巴结总数高于对照组（2.00±2.35对0.76±1.36个；P<0.0001），最明显的是在颈部III区和IV区（两者P均<0.05）。
结论
HT似乎与颈部肿大淋巴结数量增加的超声特征有关，尤其是在III区和IV区。
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