1. Dual concentric echo sign of ultrasound in primary hyperparathyroidism: The clinical and histopathologic features and differentiation from lymph nodes
- Author
-
Hua Liang, Jinglin Li, Xin Yang, Yunshu Ouyang, Ya Hu, Mei Li, Mengsu Xiao, Yang Gui, Xueqi Chen, Li Tan, Jianchu Li, He Liu, Ke Lv, Xiaoyan Chang, and Yuxin Jiang
- Subjects
Primary hyperparathyroidism ,Ultrasound ,Clinical ,Histopathology ,Dual concentric echo sign ,Science (General) ,Q1-390 ,Social sciences (General) ,H1-99 - Abstract
Context: Ultrasound (US) is the most economical and widely used method for detecting lesions in parathyroid regions. Identifying typically parathyroid adenomas as hypoechoic nodules with clear margins. However, 10 % of lesions exhibit atypical features, such as the dual concentric sign, and the cognition of them still needs to be improved. Objective: To promote understanding of clinical and histopathological features for parathyroid lesions with the dual concentric echo sign and to investigate its pathogenesis and methods for distinguishing from cervical lymph nodes to improve US diagnostic accuracy. Methods: Retrospectively, patients were categorized into three groups: Group 1, with 36 patients showing parathyroid lesions with dual concentric echo signs; Group 2, with 40 patients displaying classic hypoechoic parathyroid lesions; and Group 3, comprising 36 patients with identified lymph nodes, which were all examined from January 2018 to December 2019. The clinical data on demographics, clinical symptoms, serum levels, histopathologic findings, and US image characteristics were thoroughly reviewed. Results: According to the clinical data, no significant differences in demographics or lesion sizes were observed in Group 1 and Group 2 (p > 0.05). No significant variances were noted in biochemical markers, including PTH, T-25OHD, and ALP. However, a notable difference was identified in adjusted serum calcium levels, which were significantly lower in Group 1 compared to Group 2 (p
- Published
- 2024
- Full Text
- View/download PDF