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是甲状腺癌的可能性多大?

(2009-01-07 10:46:58) 下一个

SONOGRAM OF THE NECK

Well defined hypoechogenic masses in the carotid space bilaterally with the dominant ones as follows:
*Right mid: 26.3 x 8.0 x 4.3 mm and 17.1 x 6.1 x 1.5 mm
*Left mid: 12.9 x 4.8 x 5.7 mm and 15.6 x 6.2 x 2.5 mm
*Left superior: 15.6 x 9.0 x 3.9 mm and 18.1 x 4.1 x 8.2 mm

THYROID SONOGRAM

*Right: Normal size at 5.1 x 1.4 x 1.7 cm with homogeneous echotexture. 16.8 x 14.2 x 14.7 mm well defined isoechogenic mass in the lower pole with thin hypoechogenic halo. Color Doppler interrogation demonstrates central and peripheral flow. Posterior to the lower pole is a 6.7 x 4.3 x 6.0 mm hypoechogenic mass.
11.1 x 5.0 x 8.0 mm well defined hypo and isoechogenic mass in the posterior interpolar region demonstrating peripheral flow with color Doppler Imaging.

*Left: Normal size at 4.8 x 1.3 x 1.4 cm with homogeneous echotexture.

*Isthmus: Normal thickness at 1.6 mm

INTERPRETATION

1. Normal appearing bilateral carotid space lymph nodes of questionable significance.

2. Dominant solid mass in the lower pole of the right thyroid lobe with some benign features. Differential diagnosis includes follicular adenoma and less likely possibility of malignancy

3. Small solid mass posterior to the lower pole of the right thyroid lobe could represent normal parathyroid gland or a small parathyroid adenoma.

RECOMMENDATION

You may wish to correlate the right thyroid lobe mass with a radioisotope scan.

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请问我脖子的questional significance是什么意思?得甲状腺癌的可能性多大?大过节的,医生都度假了。我下一步怎么办?要做byophcy吗?哭,恳请懂的朋友帮忙解释一下, 万分万分感谢!

You can never tell if a thyroid nodule is benign or malignant by the looks. You need to have a needle biopsy to get some tissues out and see. This is a very simple, safe procedure; you can find an endocrinologist to do it. The radiologist is not quite sure about the significance of an enlarged lymph node in your neck, depending on the position; it could be enlarged due to inflammation or other things. Need to see an endocrinologist to have them look at this for you. (by jiamei)

再请问一下:FNA导致癌扩散的几率多大?我能直接去医院看急诊做吗?

1。恶性可能很小。
2。针刺活检不导致转移,即使是恶性的话。
3。即使恶性,年轻和中年女性,多为低度恶性,尤其小的肿瘤,治愈率很高,一般不会威胁你的生命。
(by stonypoint)

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