K GIÁP VỊ TRÍ KHÔNG THƯỜNG GẶP BS VÕ THỊ PHƯƠNG TRINH TT Y KHOA MEDIC

TỔNG QUAN TRƯỜNG HỢP LÂM SÀNG CÁC BẤT THƯỜNG VỀ GIẢI PHẪU TUYẾN GIÁP TUYẾN GIÁP LẠC CHỖ TÀI LIỆU THAM KHẢO BÀI HỌC KINH NGHIỆM

CASE LÂM SÀNG CASE 2 : ID:170623063, 37F ĐC : Q10, TP HCM KHÁM: CỤC VÙNG CỔ 3 NĂM

SIÊU ÂM

KHẢ NĂNG LÀ : 1. NHÂN DƯỚI DA VÙNG CỔ NGHĨ NHÂN THÙY THÁP TUYẾN GIÁP (TIRADS 4) 2. NHÂN CỦA MÔ GIÁP LẠC CHỖ (TIRADS 4) 3. U ỐNG GIÁP LƯỠI ĐỀ NGHỊ: FNAC

KẾT QUẢ SIÊU ÂM

KẾT QUẢ SIÊU ÂM

CASE 2 ID : 5449568, 37F LÍ DO KHÁM : KIỂM TRA SIÊU ÂM:

KẾT QUẢ SIÊU ÂM

Pre-operative detection of thyroid pyramidal lobes by ultrasound and computed tomography. Ryu JH1, Kim DW2, Kang T3.Author information Abstract This study aimed to assess the diagnostic accuracy of pre-operative ultrasound (US) and computed tomography (CT) for detecting thyroid pyramidal lobe (TPL). The prevalence of TPLs as diagnosed by thyroid US, neck CT and surgery was 58.5% (79/135), 56.3% (76/135) and 60% (81/135), respectively. We compared US and CT detection of TPLs with surgical data to determine their sensitivity (85.2% and 91.4%), specificity (81.5% and 94.4%), positive (87.3% and 96.1%) and negative (78.6% and 87.9%) predictive values and accuracy (83.7% and 92.6%). For detecting TPLs, both neck CT and thyroid US have good diagnostic value, although neck CT is more accurate than thyroid US.

Pre-operative detection of thyroid pyramidal lobes by ultrasound and computed tomography. Ryu JH1, Kim DW2, Kang T3.Author information Abstract This study aimed to assess the diagnostic accuracy of pre-operative ultrasound (US) and computed tomography (CT) for detecting thyroid pyramidal lobe (TPL). The prevalence of TPLs as diagnosed by thyroid US, neck CT and surgery was 58.5% (79/135), 56.3% (76/135) and 60% (81/135), respectively. We compared US and CT detection of TPLs with surgical data to determine their sensitivity (85.2% and 91.4%), specificity (81.5% and 94.4%), positive (87.3% and 96.1%) and negative (78.6% and 87.9%) predictive values and accuracy (83.7% and 92.6%). For detecting TPLs, both neck CT and thyroid US have good diagnostic value, although neck CT is more accurate than thyroid US.

Pre-operative detection of thyroid pyramidal lobes by ultrasound and computed tomography. Ryu JH1, Kim DW2, Kang T3.Author information Abstract This study aimed to assess the diagnostic accuracy of pre-operative ultrasound (US) and computed tomography (CT) for detecting thyroid pyramidal lobe (TPL). The prevalence of TPLs as diagnosed by thyroid US, neck CT and surgery was 58.5% (79/135), 56.3% (76/135) and 60% (81/135), respectively. We compared US and CT detection of TPLs with surgical data to determine their sensitivity (85.2% and 91.4%), specificity (81.5% and 94.4%), positive (87.3% and 96.1%) and negative (78.6% and 87.9%) predictive values and accuracy (83.7% and 92.6%). For detecting TPLs, both neck CT and thyroid US have good diagnostic value, although neck CT is more accurate than thyroid US.

Pre-operative detection of thyroid pyramidal lobes by ultrasound and computed tomography. Ryu JH1, Kim DW2, Kang T3.Author information Abstract This study aimed to assess the diagnostic accuracy of pre-operative ultrasound (US) and computed tomography (CT) for detecting thyroid pyramidal lobe (TPL). The prevalence of TPLs as diagnosed by thyroid US, neck CT and surgery was 58.5% (79/135), 56.3% (76/135) and 60% (81/135), respectively. We compared US and CT detection of TPLs with surgical data to determine their sensitivity (85.2% and 91.4%), specificity (81.5% and 94.4%), positive (87.3% and 96.1%) and negative (78.6% and 87.9%) predictive values and accuracy (83.7% and 92.6%). For detecting TPLs, both neck CT and thyroid US have good diagnostic value, although neck CT is more accurate than thyroid US.

Pre-operative detection of thyroid pyramidal lobes by ultrasound and computed tomography. Ryu JH1, Kim DW2, Kang T3.Author information Abstract This study aimed to assess the diagnostic accuracy of pre-operative ultrasound (US) and computed tomography (CT) for detecting thyroid pyramidal lobe (TPL). The prevalence of TPLs as diagnosed by thyroid US, neck CT and surgery was 58.5% (79/135), 56.3% (76/135) and 60% (81/135), respectively. We compared US and CT detection of TPLs with surgical data to determine their sensitivity (85.2% and 91.4%), specificity (81.5% and 94.4%), positive (87.3% and 96.1%) and negative (78.6% and 87.9%) predictive values and accuracy (83.7% and 92.6%). For detecting TPLs, both neck CT and thyroid US have good diagnostic value, although neck CT is more accurate than thyroid US.

stract This study aimed to assess the diagnostic accuracy of pre-operative ultrasound (US) and computed tomography (CT) for detecting thyroid pyramidal lobe (TPL). The prevalence of TPLs as diagnosed by thyroid US, neck CT and surgery was 58.5% (79/135), 56.3% (76/135) and 60% (81/135), respectively. We compared US and CT detection of TPLs with surgical data to determine their sensitivity (85.2% and 91.4%), specificity (81.5% and 94.4%), positive (87.3% and 96.1%) and negative (78.6% and 87.9%) predictive values and accuracy (83.7% and 92.6%). For detecting TPLs, both neck CT and thyroid US have good diagnostic value, although neck CT is more accurate than thyroid US.

Pre-operative detection of thyroid pyramidal lobes by ultrasound and computed tomography. Ryu JH1, Kim DW2, Kang T3.Author information Abstract This study aimed to assess the diagnostic accuracy of pre-operative ultrasound (US) and computed tomography (CT) for detecting thyroid pyramidal lobe (TPL). The prevalence of TPLs as diagnosed by thyroid US, neck CT and surgery was 58.5% (79/135), 56.3% (76/135) and 60% (81/135), respectively. We compared US and CT detection of TPLs with surgical data to determine their sensitivity (85.2% and 91.4%), specificity (81.5% and 94.4%), positive (87.3% and 96.1%) and negative (78.6% and 87.9%) predictive values and accuracy (83.7% and 92.6%). For detecting TPLs, both neck CT and thyroid US have good diagnostic value, although neck CT is more accurate than thyroid US.

Pre-operative detection of thyroid pyramidal lobes by ultrasound and computed tomography. Ryu JH1, Kim DW2, Kang T3.Author information Abstract This study aimed to assess the diagnostic accuracy of pre-operative ultrasound (US) and computed tomography (CT) for detecting thyroid pyramidal lobe (TPL). The prevalence of TPLs as diagnosed by thyroid US, neck CT and surgery was 58.5% (79/135), 56.3% (76/135) and 60% (81/135), respectively. We compared US and CT detection of TPLs with surgical data to determine their sensitivity (85.2% and 91.4%), specificity (81.5% and 94.4%), positive (87.3% and 96.1%) and negative (78.6% and 87.9%) predictive values and accuracy (83.7% and 92.6%). For detecting TPLs, both neck CT and thyroid US have good diagnostic value, although neck CT is more accurate than thyroid US.

Pre-operative detection of thyroid pyramidal lobes by ultrasound and computed tomography. Ryu JH1, Kim DW2, Kang T3.Author information Abstract This study aimed to assess the diagnostic accuracy of pre-operative ultrasound (US) and computed tomography (CT) for detecting thyroid pyramidal lobe (TPL). The prevalence of TPLs as diagnosed by thyroid US, neck CT and surgery was 58.5% (79/135), 56.3% (76/135) and 60% (81/135), respectively. We compared US and CT detection of TPLs with surgical data to determine their sensitivity (85.2% and 91.4%), specificity (81.5% and 94.4%), positive (87.3% and 96.1%) and negative (78.6% and 87.9%) predictive values and accuracy (83.7% and 92.6%). For detecting TPLs, both neck CT and thyroid US have good diagnostic value, although neck CT is more accurate than thyroid US.

Pre-operative detection of thyroid pyramidal lobes by ultrasound and computed tomography. Ryu JH1, Kim DW2, Kang T3.Author information Abstract This study aimed to assess the diagnostic accuracy of pre-operative ultrasound (US) and computed tomography (CT) for detecting thyroid pyramidal lobe (TPL). The prevalence of TPLs as diagnosed by thyroid US, neck CT and surgery was 58.5% (79/135), 56.3% (76/135) and 60% (81/135), respectively. We compared US and CT detection of TPLs with surgical data to determine their sensitivity (85.2% and 91.4%), specificity (81.5% and 94.4%), positive (87.3% and 96.1%) and negative (78.6% and 87.9%) predictive values and accuracy (83.7% and 92.6%). For detecting TPLs, both neck CT and thyroid US have good diagnostic value, although neck CT is more accurate than thyroid US.

Pre-operative detection of thyroid pyramidal lobes by ultrasound and computed tomography. Ryu JH1, Kim DW2, Kang T3.Author information Abstract This study aimed to assess the diagnostic accuracy of pre-operative ultrasound (US) and computed tomography (CT) for detecting thyroid pyramidal lobe (TPL). The prevalence of TPLs as diagnosed by thyroid US, neck CT and surgery was 58.5% (79/135), 56.3% (76/135) and 60% (81/135), respectively. We compared US and CT detection of TPLs with surgical data to determine their sensitivity (85.2% and 91.4%), specificity (81.5% and 94.4%), positive (87.3% and 96.1%) and negative (78.6% and 87.9%) predictive values and accuracy (83.7% and 92.6%). For detecting TPLs, both neck CT and thyroid US have good diagnostic value, although neck CT is more accurate than thyroid US.

Pre-operative detection of thyroid pyramidal lobes by ultrasound and computed tomography. Ryu JH1, Kim DW2, Kang T3.Author information Abstract This study aimed to assess the diagnostic accuracy of pre-operative ultrasound (US) and computed tomography (CT) for detecting thyroid pyramidal lobe (TPL). The prevalence of TPLs as diagnosed by thyroid US, neck CT and surgery was 58.5% (79/135), 56.3% (76/135) and 60% (81/135), respectively. We compared US and CT detection of TPLs with surgical data to determine their sensitivity (85.2% and 91.4%), specificity (81.5% and 94.4%), positive (87.3% and 96.1%) and negative (78.6% and 87.9%) predictive values and accuracy (83.7% and 92.6%). For detecting TPLs, both neck CT and thyroid US have good diagnostic value, although neck CT is more accurate than thyroid US.

Pre-operative detection of thyroid pyramidal lobes by ultrasound and computed tomography. Ryu JH1, Kim DW2, Kang T3.Author information Abstract This study aimed to assess the diagnostic accuracy of pre-operative ultrasound (US) and computed tomography (CT) for detecting thyroid pyramidal lobe (TPL). The prevalence of TPLs as diagnosed by thyroid US, neck CT and surgery was 58.5% (79/135), 56.3% (76/135) and 60% (81/135), respectively. We compared US and CT detection of TPLs with surgical data to determine their sensitivity (85.2% and 91.4%), specificity (81.5% and 94.4%), positive (87.3% and 96.1%) and negative (78.6% and 87.9%) predictive values and accuracy (83.7% and 92.6%). For detecting TPLs, both neck CT and thyroid US have good diagnostic value, although neck CT is more accurate than thyroid US.

BÀI HỌC KINH NGHIỆM CÓ NHIỀU BẤT THƯỜNG VỀ GIẢI PHẪU TUYẾN GIÁP , KHI SIÊU ÂM DỄ BỎ SÓT THÙY THÁP -> LƯU Ý KHI PHẪU THUẬT 2. NẾU NÓI SIÊU ÂM TẦM SOÁT K GIÁP THÌ CHƯA ĐỦ VÌ MÔ GIÁP CÓ THỂ LẠC CHỖ NHIỀU VỊ TRÍ 3. DỄ NHẦM NANG GIÁP LƯỠI VÀ BN SẼ BỊ BỎ QUA CHẨN ĐOÁN K GIÁP. 4. UNG THƯ VỊ TRÍ THÙY THÁP DỄ XÂM LẤN XUNG QUANH CẦN ĐƯỢC CĐ ĐÚNG

TÀI LIỆU THAM KHẢO 1. Bệnh học ung bướu cơ bản 2. Milojevic B, Tosevski J, Milisavljevic M, Babic D, Malikovic A. Pyramidal lobe of the human thyroid gland: an anatomical study with clinical implications. Rom J Morphol Embryol. 2013;54:285–289.[PubMed] [Google Scholar 3. Clinical characteristics of papillary thyroid carcinoma arising from the pyramidal lobe. .[PubMed] [Google Scholar.

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