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Suture Granuloma Mimicking Recurrent Thyroid Carcinoma on Ultrasonography

김민정|김은경|윤미진|홍순원|정용은
연세대학교의과대학 (Yonsei University College of Medicine)|2006.10|Yonsei Medical Journal|제47권 제5호|pp. 748-751

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참고문헌

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초록

Although high resolution ultrasonography (US) is helpful in the differentiation of suture granulomas from recurrent thyroid cancer in most cases, a definite diagnosis cannot always be made. We report a case that mimicked recurrent thyroid cancer on US and 2-[fluorine-18] fluoro-2-deoxy-D-glucose (FDG) positron emission tomography (PET), but diagnosis of a suture granuloma was confirmed by a US-guided fine needle aspiration biopsy (FNAB). In order to avoid unnecessary operations, the differential diagnosis between postoperative suture granulomas and recurrent cancer is important.

Abstract

Although high resolution ultrasonography (US) is helpful in the differentiation of suture granulomas from recurrent thyroid cancer in most cases, a definite diagnosis cannot always be made. We report a case that mimicked recurrent thyroid cancer on US and 2-[fluorine-18] fluoro-2-deoxy-D-glucose (FDG) positron emission tomography (PET), but diagnosis of a suture granuloma was confirmed by a US-guided fine needle aspiration biopsy (FNAB). In order to avoid unnecessary operations, the differential diagnosis between postoperative suture granulomas and recurrent cancer is important.

참고문헌 (9)

  1. "Thyroid ultrasound", 30, pp.339~360 (2001)
  2. "Sonography and sonographically guided fine-needle aspiration biopsy of the thyroid gland", 181, pp.267~271 (2003)
  3. "granulomas: sonography enables a correct preoperative diagnosis", 27, pp.343~350 (2001)
  4. "Human tissue reaction to sutures", pp.144~50
  5. "The role of ultrasound in the diagnosis of stitch granulomas following paediatric herniotomy", 29, pp.803~806 (1999)
  6. "Stitch granulomata after thyroid surgery"
  7. "PET in the follow-up of differentiated thyroid cancer", 76, pp.690~695 (2003)
  8. "False positive fluorine-18 fluorodeoxy-D-glucose positron emission tomography finding caused by osteoradionecrosis in a nasopharyngeal carcinoma patient", 77, pp.257~260 (2004)
  9. "Effectiveness of positron emission tomography for the detection of melanoma metastases", 227, pp.764~71 (1998)

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