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超声引导下甲状腺神经鞘瘤的微波消融术

Ultrasound-Guided Microwave Ablation of Thyroid Schwannoma.

作者信息

Han Xue, Zhang Yuzhi, Li Yu, Li Ruiping, Liu Chao, Xu Shuhang

机构信息

Endocrine and Diabetes Center, The Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing 210028, China.

Department of Ultrasound, The Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing 210028, China.

出版信息

JCEM Case Rep. 2024 Aug 12;2(8):luae146. doi: 10.1210/jcemcr/luae146. eCollection 2024 Aug.

Abstract

Thyroid schwannoma, a rare neoplasm of the thyroid gland, originates from Schwann cells that form the myelin sheath. A 47-year-old woman presented with a progressively enlarging thyroid nodule, which was monitored by repeated ultrasonography over the previous 2 years. Following a diagnosis of thyroid schwannoma by core needle biopsy and immunohistochemical staining, the patient underwent ultrasound-guided microwave ablation (MWA). Subsequent thyroid ultrasounds indicated a gradual decrease in the tumor's volume, achieving a 12-month volume reduction ratio of 79.20%. No complications were observed. Ultrasound-guided MWA may serve as an effective alternative to conventional surgery for managing thyroid schwannomas.

摘要

甲状腺神经鞘瘤是一种罕见的甲状腺肿瘤,起源于形成髓鞘的施万细胞。一名47岁女性因甲状腺结节逐渐增大就诊,在过去2年中通过反复超声进行监测。在通过粗针活检和免疫组化染色诊断为甲状腺神经鞘瘤后,患者接受了超声引导下的微波消融(MWA)治疗。随后的甲状腺超声显示肿瘤体积逐渐减小,12个月时体积缩小率达到79.20%。未观察到并发症。超声引导下的微波消融可作为治疗甲状腺神经鞘瘤的一种有效的传统手术替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c337/11317771/e7c788fd7651/luae146f1.jpg

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