这篇社论提供了Sun等人发表在《世界临床病例杂志》上的病例报告的见解。病例报告集中于一例多房性胸腺囊肿(MTC)被误诊为胸腺肿瘤,导致不必要的外科手术.MTC和胸腺肿瘤都是罕见的疾病,严重依赖放射学成像进行准确诊断。然而,他们成像表现的相似性会导致误解,导致不必要的外科手术。由于缺乏对MTCs和胸腺肿瘤的全面了解,我们总结了最近文献中记录的诊断技术,并检查了误诊的潜在原因。当计算机断层扫描(CT)值超过20Hounsfield单位并显示出可比的形态时,存在将MTCs误诊为胸腺肿瘤的风险。采用各种鉴别诊断方法,如活检,分子生物学,多层CT,CT功能成像,正电子发射断层扫描/CT分子功能成像,磁共振成像和影像组学,证明有利于减少临床误诊。对这些情况的更深入了解需要医疗保健提供者的更多关注和探索。此外,各种诊断方法的不断进步和利用有望提高精确诊断,提供适当的治疗选择,提高胸腺肿瘤和MTCs患者的生活质量。
This editorial provides insights from a case report by Sun et al published in the World Journal of Clinical Cases. The case report focuses on a case where a multilocular thymic cyst (MTC) was misdiagnosed as a thymic tumor, resulting in an unnecessary surgical procedure. Both MTCs and thymic tumors are rare conditions that heavily rely on radiological imaging for accurate diagnosis. However, the similarity in their imaging presentations can lead to misinterpretation, resulting in unnecessary surgical procedures. Due to the ongoing lack of comprehensive knowledge about MTCs and thymic tumors, we offer a summary of diagnostic techniques documented in recent literature and examine potential causes of misdiagnosis. When computer tomography (CT) values surpass 20 Hounsfield units and display comparable morphology, there is a risk of misdiagnosing MTCs as thymic tumors. Employing various differential diagnostic methods like biopsy, molecular biology, multi-slice CT, CT functional imaging, positron emission tomography/CT molecular functional imaging, magnetic resonance imaging and radiomics, proves advantageous in reducing clinical misdiagnosis. A deeper understanding of these conditions requires increased attention and exploration by healthcare providers. Moreover, the continued advancement and utilization of various diagnostic methods are expected to enhance precise diagnoses, provide appropriate treatment options, and improve the quality of life for patients with thymic tumors and MTCs in the future.