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Preoperative US-guided hookwire localization for nonpalpable cervical masses

机译:术前用美国引导的钩丝定位术治疗不可触及的宫颈肿块

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Purpose: We investigated whether the preoperative ultrasound (US)-guided hookwire localization for nonpalpable cervical masses allows surgeons to find these masses more easily and more confidently. Methods: Eight patients underwent preoperative US-guided hookwire insertion for nonpalpable cervical masses at our institution between January 2008 and January 2011. Cervical masses were detected by US or CT, and seven of the eight patients underwent US-guided fine-needle aspiration. Before surgery, a radiologist inserted a hookwire into the cervical mass, under US guidance. Results: US-guided hookwire insertion took about 5-10 minutes and was successful in all cases without complications. Final pathologic results were metastatic papillary thyroid cancer (n = 4), no metastasis (n = 1), parathyroid adenoma (n = 1), tuberculosis (n = 1), and Kikuchi's disease (n = 1). Conclusions: Preoperative US-guided hookwire insertion in nonpalpable cervical lesions provides surgeons with an effective means of lesion location.
机译:目的:我们研究了术前超声(US)引导的不可触及子宫颈肿块的钩丝定位是否允许外科医生更轻松,更自信地找到这些肿块。方法:2008年1月至2011年1月,我院对8例术前未触及颈段肿块的患者进行了US引导下钩线插入术。通过US或CT检查发现了宫颈肿块,在8例患者中有7例接受了US引导下的细针穿刺。手术前,放射科医生在美国的指导下,将钩线插入宫颈肿块。结果:美国引导的钩线插入术大约花费了5-10分钟,并且在没有并发症的所有情况下均成功。最终病理结果为转移性甲状腺乳头状癌(n = 4),无转移(n = 1),甲状旁腺腺瘤(n = 1),结核(n = 1)和菊池病(n = 1)。结论:术前超声引导下钩线插入不可触及子宫颈病变为外科医生提供了有效的病变定位手段。

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