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甲状腺切除术后缝线肉芽肿:细针穿刺抽吸细胞学诊断

Post-thyroidectomy suture granuloma: A diagnosis on fine needle aspiration cytology.

作者信息

Mathai Alka Mary, Preetha K, Valsala Devi S, Vicliph Sam, Gopinath Ashok

机构信息

Department of Pathology, SUT Academy of Medical Sciences, Thiruvananthapuram, India.

Department of Surgery, SUT Academy of Medical Sciences, Thiruvananthapuram, India.

出版信息

Diagn Cytopathol. 2018 Sep;46(9):756-759. doi: 10.1002/dc.23942. Epub 2018 Apr 11.

Abstract

Suture granulomas result from the use of nonabsorbable suture and is an infrequent complication following thyroidectomy. When they occur, suture granulomas may mimic both benign and malignant diagnoses, posing a potential diagnostic challenge. Ultrasound-guided fine needle aspiration cytology is an accurate diagnostic modality for the workup of nodules within the thyroidectomy bed. We herein present 2 cases of post-thyroidectomy suture granulomas, presenting as a painless, palpable mass in the surgical bed and occurring as a late complication of thyroidectomy that were diagnosed on fine needle aspiration cytology.

摘要

缝线肉芽肿是使用不可吸收缝线所致,是甲状腺切除术后罕见的并发症。当缝线肉芽肿出现时,可能会模拟良性和恶性诊断,构成潜在的诊断挑战。超声引导下细针穿刺细胞学检查是甲状腺切除床内结节检查的一种准确诊断方法。我们在此报告2例甲状腺切除术后缝线肉芽肿病例,表现为手术床处无痛、可触及的肿块,作为甲状腺切除术后的晚期并发症,通过细针穿刺细胞学检查得以诊断。

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