Pathological evaluation of thyroid glands in Graves' disease after thyroid arteries embolization
- VernacularTitle:Graves病甲状腺动脉栓塞后甲状腺的病理学研究
- Author:
Wenquan ZHUANG
;
Haipeng XIAO
;
Wei CHEN
- Publication Type:Journal Article
- Keywords:
Graves'disease;
Thyroid arteries;
Embolization,therapeutic;
Pathology
- From:
Journal of Interventional Radiology
1994;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the pathological morphology of thyroid specimen after thyroid arteries embolization. In order to select appropriate size of embolizing granules, the diameters of thyroid arteries in Graves' disease were measured. Methods Multiple slides of embolized thyroid tissues from superior pole, body and inferior pole of the resected thyroid glands were made. After being embedded and stained, pathological morphology was observed and diameters of arteries in various parts of thyroid glands were measured under microscopy. Results Pathological examination of thyroid glands showed that superior and inferior thyroid arteries and most of their branches were embolized with ischemic necrosis and fibrosis in the embolized thyroid tissue. Follicular epithelium appeared as flat or cubic shapes with colloid reduction. Average diameter of main branches of superior artery was 440~550?m and that of inferior artery was 300~375?m. The diameters of capillary network in the thyroid body was 120~250?m, and the non embolized ones was 40~110?m. The diameter of isthmus was 130~150?m. Conclusions Pathological morphology of Graves' disease after thyroid arteries embolization showed that the excretion of thyroid glands would be decreased and equivalents to subtotal thyroidectomy.