Li Peng, Zhang Hui
Department of Ultrasound, Peking University First Hospital, Beijing, China.
Ultrasound Q. 2019 Sep;35(3):246-252. doi: 10.1097/RUQ.0000000000000414.
This study aims to evaluate the value of ultrasonography in the diagnosis, treatment, and follow-up of primary thyroid lymphoma. The clinical data of 12 patients, who were pathologically confirmed with thyroid lymphoma and treated in our hospital, were retrospectively analyzed. Ultrasonography was performed on the thyroid and neck lymph nodes, and the sonographic features of the lesions were recorded. During the course of the diagnosis and treatment of lymphoma, the patients were monitored and followed up by ultrasonography. The sonographic features of 12 patients with 20 lesions revealed hypoechoic masses, within which "strip-shaped" and "grid-shaped" high echoes were observed, and echoes behind masses were not attenuated. Furthermore, a small amount of blood flow signals were observed. Six patients received thyroidectomy. Among these patients, one patient relapsed. Six patients underwent chemotherapy. Among these patients, 2 patients relapsed and received chemotherapy again. Ultrasound can guide the biopsy of suspicious lymphoma lesions and provide accurate information on treatment effects and tumor recurrence for patients with thyroid lymphoma after treatment, especially after chemotherapy.
本研究旨在评估超声检查在原发性甲状腺淋巴瘤诊断、治疗及随访中的价值。回顾性分析我院12例经病理确诊为甲状腺淋巴瘤并接受治疗患者的临床资料。对甲状腺及颈部淋巴结进行超声检查，记录病变的超声特征。在淋巴瘤诊治过程中，对患者进行超声监测及随访。12例患者共20个病变的超声特征显示为低回声肿块，其中可见“条带状”和“网格状”高回声，肿块后方回声无衰减。此外，观察到少量血流信号。6例患者接受了甲状腺切除术。其中1例患者复发。6例患者接受了化疗。其中2例患者复发并再次接受化疗。超声可引导可疑淋巴瘤病变的活检，并为甲状腺淋巴瘤患者治疗后，尤其是化疗后，提供有关治疗效果及肿瘤复发的准确信息。
