Trapanese Ersilio, De Bartolomeis Carmine, Angrisani Basilio, Tarro Giulio
Interventional Ultrasound of Breast Oncology Screening, ASL Salerno, Salerno, Italy.
Endocrine Surgery and General Surgery Specialist, University Pisa, Pisa, Italy.
Oncotarget. 2018 Jun 26;9(49):29275-29283. doi: 10.18632/oncotarget.25621.
We report a case of a 58-year-old Caucasian woman affected by papillary thyroid microcarcinoma (PTMC) of the left-lobe of the gland with very small size (Ø 0.3 cm). The characteristics with the Diagnostic Imaging using Ultrasonography, ADF (Advanced Dynamic Flow), and fine-needle-aspiration cytology (FNAC) are discussed, comprising a very small micro-focus of radial shape, with markedly hypoechoic echostructure, irregular margins, supplemented by peripheral vessel formation. It acquires an image which appears similar to a brisk visualization of a dark ink stain in the normal thyroid weave. We call such a pattern "Black Ink" with ultrasonographic image and believe consistent with the infiltrating variant of papillary thyroid microcarcinoma if associated with malignant cytology after FNA.
我们报告了一例58岁的高加索女性，其左叶甲状腺患有微小乳头状癌（PTMC），肿瘤尺寸非常小（直径0.3厘米）。本文讨论了使用超声、ADF（高级动态血流）和细针穿刺细胞学检查（FNAC）进行诊断成像的特征，包括一个非常小的放射状微病灶，具有明显低回声的回声结构、边缘不规则，并伴有周边血管形成。它呈现出一种类似于正常甲状腺组织中深色墨水污渍快速显影的图像。我们将这种超声图像模式称为“黑墨水”模式，并认为如果在细针穿刺后伴有恶性细胞学特征，则与甲状腺微小乳头状癌的浸润性变体相符。
