Ultrasonographic Findings and Prognosis of Metastases to the Thyroid Gland.

IF 2.5 4区 医学 Q1 ACOUSTICS Ultrasonic Imaging Pub Date : 2023-09-01 Epub Date: 2023-07-05 DOI:10.1177/01617346231179620
Wenting Xie, Yaoqin Wang, Zhongshi Du, Yijie Chen, Yu Wu, Dongdong Zhu, Lina Tang
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Abstract

Metastases to the thyroid gland (MTT) are uncommon in clinical practice. The ultrasound (US) features are easily confused with primary thyroid malignancy, Hashimoto's thyroiditis, and other thyroid diseases. Therefore, this study aimed to assess the role of US and analysis of prognosis of MTT. A total of 45 patients with MTT in the database between July 2009 and February 2022 at the Fujian Cancer Hospital were reviewed. US examinations were performed only on 20 patients, who were finally included in our study. Among the 20 patients, nine were male, and eleven were female. According to US characteristics, metastases to the thyroid gland were divided into nodular and diffuse types (17 and 3 cases, respectively). Three lesions (17.6%) had circumscribed margins, and 14 (82.4%) were uncircumscribed. Three lesions (17.6%) were regular in shape, and 14 (82.4%) were irregular. Nine metastases (52.9%) were a taller-than-wide shape, and eight (47.1%) were not a taller-than-wide shape. Ten lesions (58.8%) had rich vascularity, and seven (41.2%) had absence/not rich vascularity. The mean overall survival (OS) from the time of MTT diagnosis was 22 months (95% confidence interval: 5.95-38.05). The 1-, 3-, and 5-year OS after metastasis was 68.1%, 25.5%, and 17%, respectively. The prognosis of MTT was poor, which is closely related to the characteristics of the primary tumor and metastatic disease. The US findings and US-guided core needle biopsy may be useful in diagnosing MTT in patients with a history of the malignant tumors.

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甲状腺转移的超声表现与预后。
甲状腺转移(MTT)在临床实践中并不常见。超声(US)特征很容易与原发性甲状腺恶性肿瘤、桥本甲状腺炎和其他甲状腺疾病混淆。因此,本研究旨在评估US的作用并分析MTT的预后。对福建癌症医院2009年7月至2022年2月期间数据库中的45例MTT患者进行了回顾。仅对20名患者进行了超声检查,这些患者最终被纳入我们的研究。在20名患者中,9名为男性,11名为女性。根据US特征,甲状腺转移分为结节型和弥漫型(分别为17例和3例)。3个病灶(17.6%)有边界,14个病灶(82.4%)未切出。3个病灶(17.6%)呈规则形状,14个病灶(82.4%)呈不规则形状。9例(52.9%)转移瘤为高宽型,8例(47.1%)非高宽型。10个病变(58.8%)具有丰富的血管,7个病变(41.2%)具有缺乏/不丰富的血管。MTT诊断时的平均总生存期(OS)为22 月(95%置信区间:5.95-38.05)。转移后的1年、3年和5年OS分别为68.1%、25.5%和17%。MTT的预后较差,这与原发性肿瘤和转移性疾病的特点密切相关。超声检查结果和超声引导下的核心针活检可能有助于诊断有恶性肿瘤病史的患者的MTT。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Ultrasonic Imaging
Ultrasonic Imaging 医学-工程:生物医学
CiteScore
5.10
自引率
8.70%
发文量
15
审稿时长
>12 weeks
期刊介绍: Ultrasonic Imaging provides rapid publication for original and exceptional papers concerned with the development and application of ultrasonic-imaging technology. Ultrasonic Imaging publishes articles in the following areas: theoretical and experimental aspects of advanced methods and instrumentation for imaging
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