1.Right non recurrent laryngeal nerve during thyroid surgery: one case report.
Weipeng HUANG ; Qingfeng ZHANG ; Cuiping SHE
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2015;29(24):2179-2180
A 56 years old female was admitted to our department with complaint of a painless cervical mass. Clinical feature:there was a painless mass above left lobe of thyroid gland, which was about 3.0 cm x 2.5 cm in size, and could move with swallowing action. B-mode ultrasound features: there was a solid mass in left lobe of thyroid gland, which was about 3.2 cm. Nodule was found in isthmus, accompanied with lymphadenovarix on the left neck possibly be MCA. fT3: 4.64 pmol/L, fT4:16.56 pmol/L,TSH:3.74 mIU/L, anti-TG:17.75 U/ml, anti-TPO:40.77 U/ml. Pathological result of the neoplasm: papillocarcinoma. Clinical diagnosis: papillary thyroid carcinoma.
Carcinoma
;
diagnosis
;
pathology
;
Carcinoma, Papillary
;
diagnosis
;
pathology
;
Deglutition
;
Female
;
Humans
;
Middle Aged
;
Neck
;
pathology
;
Parathyroid Glands
;
pathology
;
Recurrent Laryngeal Nerve
;
pathology
;
Thyroid Cancer, Papillary
;
Thyroid Neoplasms
;
diagnosis
;
pathology
2.Clinicopathological features of solid pseudopapillary tumor of the pancreas.
Kun WANG ; Ai-Ping LU ; Chun-Yi HAO ; Bao-Cai XING ; Xin-Fu HUANG ; Fei GAO ; Jia-Fu JI
Acta Academiae Medicinae Sinicae 2006;28(3):418-420
OBJECTIVETo elucidate the clinicopathological features of solid pseudopapillary tumor (SPT) of the pancreas.
METHODSEight patients with SPT of the pancreas admitted from August 1996 to March 2005 were retrospectively analyzed.
RESULTSAll the 8 patients were female with an average age of 25.3 (13-41) years. The primary clinical manifestations included abdominal mass (n = 3), vague abdominal pain (n = 3), and duodenal obstruction (n = 1). SPT was occasionally found in one patient during physical examination. Six tumors located at the head and the other two in the body and tail of the pancreas. Pancreaticoduodenectomies were performed in 4 patients, tumor enucleations in 2, distal pancreatectomies in 1, and palliative internal drainage with a cystoenterotomy in the other one with an unresectable huge cystic lesion. All patients were alive on an average follow-up of 37.8 (8-103) months.
CONCLUSIONSPT occurs mainly in adolescent and young females, and satisfactory outcome may be achieved with active and appropriate surgeries.
Adolescent ; Adult ; Carcinoma, Papillary ; diagnosis ; pathology ; Female ; Humans ; Pancreas ; pathology ; Pancreatic Neoplasms ; diagnosis ; pathology ; Prognosis
3.Problems in the diagnosis of thyroid papillary and follicular carcinoma.
Chinese Journal of Pathology 2007;36(4):220-223
Adenocarcinoma, Follicular
;
diagnosis
;
pathology
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Adenoma
;
diagnosis
;
pathology
;
Carcinoma, Papillary
;
diagnosis
;
pathology
;
Carcinoma, Papillary, Follicular
;
diagnosis
;
pathology
;
Cell Nucleus
;
pathology
;
Diagnosis, Differential
;
Humans
;
Neoplasm Invasiveness
;
Thyroid Gland
;
pathology
;
Thyroid Neoplasms
;
diagnosis
;
pathology
;
Thyroid Nodule
;
diagnosis
;
Thyroiditis
;
diagnosis
4.Papillary thyroid microcarcinoma.
Peng XIE ; Honfu DENG ; Tianzhi TAN
Journal of Biomedical Engineering 2009;26(5):1167-1170
The recent prevalence of ultrasonography (US) and US-guided fine needle aspiration biopsy (FNAB) can make us easily diagnose papillary carcinoma of 1.0 cm or less in maximal diameter, which is called papillary microcarcinoma. In the face of the fact that cervical lymph node metastasis and multicentricity are two prominent clinical characteristics of papillary thyroid microcarcinoma, the question How to treat papillary microcarcinoma has given rise to controversy. In this review, we discuss the clinical behavior, the appropriate therapeutic strategies, the factors affecting prognosis, and the methods for following up the patients with papillary thyroid microcarcinoma.
Biopsy, Fine-Needle
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Carcinoma, Papillary
;
diagnosis
;
pathology
;
surgery
;
Humans
;
Prognosis
;
Thyroid Neoplasms
;
diagnosis
;
pathology
;
surgery
6.Papillary Cholangiocarcinoma Arising from Biliary Papillomatosis.
The Korean Journal of Hepatology 2007;13(2):239-242
No abstract available.
Aged
;
Bile Duct Neoplasms/*diagnosis/pathology
;
*Bile Ducts, Intrahepatic
;
Carcinoma, Papillary/*diagnosis/pathology
;
Cholangiocarcinoma/*diagnosis/pathology
;
Female
;
Humans
7.Emphasis on diagnosis of thyroid carcinoma.
Chinese Journal of Pathology 2014;43(5):289-290
8.Comparison of Clinical and Ultrasonographic Features of Poorly Differentiated Thyroid Carcinoma and Papillary Thyroid Carcinoma.
Bo ZHANG ; Hui-Min NIU ; Qiong WU ; Jiong ZHOU ; Yu-Xin JIANG ; Xiao YANG ; Jian-Chu LI ; Rui-Na ZHAO ; Ming WANG ; Kang-Ning LI ; Shen-Ling ZHU ; Yu XIA ; Ding-Rong ZHONG
Chinese Medical Journal 2016;129(2):169-173
BACKGROUNDThe clinical behavior and management of poorly differentiated thyroid carcinoma (PDTC) are very different from papillary thyroid carcinoma (PTC). By comparing the clinical and ultrasonographic features between the two tumors, we proposed to provide more possibilities for recognizing PDTC before treatment.
METHODSThe data of 13 PDTCs and 39 age- and gender-matched PTCs in Peking Union Medical College Hospital between December 2003 and September 2013 were retrospectively reviewed. The clinical and ultrasonic features between the two groups were compared.
RESULTSThe frequencies of family history of carcinoma, complication with other thyroid lesions, lymph node metastases, recurrent laryngeal nerve injuries, and distant metastases were higher in PDTCs (30.8%, 61.6%, 69.2%, 23.1%, and 46.2%, respectively) than those in PTCs (2.6%, 23.1%, 25.6%, 2.6%, and 2.6%, respectively) (P < 0.05). The mortality rate of PDTCs was greatly higher than PTCs (P < 0.01). Conventional ultrasound showed that the size of PDTCs was larger than that of PTCs (3.1 ± 1.9 cm vs. 1.7 ± 1.0 cm). Clear margins and rich and/or irregular blood flow were found in 92.3% of PDTCs, which differed substantially from PTCs (51.7% and 53.8%, respectively) (P < 0.05).
CONCLUSIONSPDTC is more aggressive and its mortality rate is higher than PTCs. Accordingly, more attention should be given to suspicious thyroid cancer nodules that show large size, regular shape, and rich blood flow signals on ultrasound to exclude the possibility of PDTCs.
Adult ; Aged ; Carcinoma ; diagnosis ; pathology ; Carcinoma, Papillary ; Female ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Thyroid Neoplasms ; diagnosis ; pathology ; Ultrasonography
9.Pathologic and clinical features of invasive micropapillary carcinoma of breast.
Li-Tao ZHANG ; Dong-Chen GAO ; Xiao-Mei LU
Chinese Journal of Pathology 2007;36(12):838-839
Adult
;
Aged
;
Breast Neoplasms
;
diagnosis
;
pathology
;
Carcinoma, Papillary
;
diagnosis
;
pathology
;
Female
;
Humans
;
Lymphatic System
;
pathology
;
Middle Aged
;
Neoplasm Invasiveness
10.Evaluation of Extrathyroidal Extension of Papillary Thyroid Microcarcinoma With Three-Dimensional Tomographic Ultrasound Imaging.
Ru-Yu LIU ; Yu-Xin JIANG ; Rui-Na ZHAO ; Xing-Jian LAI ; Chuan-Ying-Zi LU ; Lu-Ying GAO ; Ying WANG ; Xue-Hua XI ; Bo ZHANG
Acta Academiae Medicinae Sinicae 2023;45(3):361-365
Objective To evaluate extrathyroidal extension (ETE) in papillary thyroid microcarcinoma (PTMC) with three-dimensional tomographic ultrasound imaging (3D-TUI). Methods A total of 97 thyroid nodules of 79 patients with PTMC treated in PUMC Hospital from February 2016 to January 2018 were included in this study.Two ultrasound experts performed independent blinded assessment of the relationship between thyroid nodules and thyroid capsule by two-dimensional ultrasound (2D-US) and 3D-TUI.The results of 2D-US and 3D-TUI in evaluating ETE were compared with intraoperative findings and postoperative histological and pathological results. Results Among the 97 nodules,54 (55.7%) nodules had ETE.The diagnostic sensitivity (68.5% vs.37.0%;χ2=10.737,P=0.002),accuracy (74.5% vs.56.7%;χ2=6.686,P=0.015),and area under the receiver operating characteristic curve[0.761 (95%CI=0.677-0.845) vs.0.592 (95%CI=0.504-0.680);Z=3.500,P<0.001] of 3D-TUI were higher than those of 2D-US.However,3D-TUI and 2D-US showed no significant difference in the specificity (84.1% vs.81.4%;χ2=0.081,P=0.776),negative predictive value (67.9% vs.50.7%;χ2=3.645,P=0.066),or positive predictive value (84.1% vs.71.4%;χ2=1.663,P=0.240). Conclusion Compared with 2D-US,3D-TUI demonstrates increased diagnostic efficiency for ETE of PTMC.
Humans
;
Thyroid Nodule
;
Thyroid Neoplasms/diagnosis*
;
Carcinoma, Papillary/pathology*
;
Ultrasonography/methods*
;
Retrospective Studies