Chua Wynne Yuru, Langer Jill E, Jones Lisa P
Department of Diagnostic Imaging, National University Health System, Singapore.
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
J Ultrasound Med. 2017 Jul;36(7):1511-1530. doi: 10.7863/ultra.16.08086. Epub 2017 Apr 10.
A sonographic examination of the neck performed 6 to 12 months after thyroid surgery in patients with differentiated thyroid cancer is strongly recommended by the American Thyroid Association and considered mandatory by the European Thyroid Association for locoregional surveillance. The aim of this article is to review the normal anatomic changes expected after thyroid surgery and the pathologic mimics of thyroid carcinoma recurrence in post-thyroidectomy patients as they appear on neck sonography. We hope to offer some pearls to increase diagnostic confidence in this setting.
美国甲状腺协会强烈建议对分化型甲状腺癌患者在甲状腺手术后6至12个月进行颈部超声检查，欧洲甲状腺协会则认为这是局部区域监测的必要手段。本文旨在回顾甲状腺手术后预期的正常解剖学变化，以及甲状腺切除术后患者颈部超声检查中出现的甲状腺癌复发的病理模拟情况。我们希望提供一些实用技巧，以提高在这种情况下的诊断信心。
