Ultrasound-Guided Microwave Ablation of Thyroid Schwannoma.

JCEM case reports Pub Date : 2024-08-12 eCollection Date: 2024-08-01 DOI:10.1210/jcemcr/luae146
Xue Han, Yuzhi Zhang, Yu Li, Ruiping Li, Chao Liu, Shuhang Xu
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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.

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超声引导下的甲状腺许旺瘤微波消融术
甲状腺分裂瘤是一种罕见的甲状腺肿瘤,起源于形成髓鞘的许旺细胞。一名 47 岁的妇女因甲状腺结节逐渐增大而就诊,在过去的两年中,她通过反复的超声波检查对结节进行了监测。经芯针活检和免疫组化染色确诊为甲状腺分裂瘤后,患者接受了超声引导下的微波消融术(MWA)。随后的甲状腺超声检查显示肿瘤体积逐渐缩小,12个月的体积缩小率为79.20%。术后未发现并发症。超声引导下微波消融术可以有效替代传统手术治疗甲状腺裂孔瘤。
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