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甲状腺细针吸收活检和超声波结果的比较

Lezzan Keskin¹, Doğu Karahan, Bülent Yaprak

¹Turgut Ozal University, Malatya Training and Research Hospital, Internal Medicine Department, Malatya, Turkey.

|June 30, 2023

概括

甲状腺结节很常见,但大多数是良性的. 这项研究发现,超声波中的单个甲状腺结节是恶性病的3.6倍,有助于诊断.

科学领域:

内分泌学在内分泌学.
放射学放射学是一门学科.
病理学病理学病理学

背景情况:

甲状腺结节很普遍,用细针吸收活检 (FNAB) 来评估恶性瘤风险.
区分良性和恶性结节对于患者管理至关重要.

研究的目的:

为了比较甲状腺超声波 (USG) 特征的诊断准确性,与甲状腺结节的FNAB结果进行比较.
为了确定甲状腺结节中恶性瘤的USG预测因素.

主要方法:

从532名接受甲状腺USG和FNAB的患者的数据进行了回顾性分析.
在FNAB之前,USG评估由内分泌学专家进行.
使用世界卫生组织Bethesda-2017系统对FNAB结果进行分类.

主要成果:

在532名患者中,74.6%的FNAB结果是良性,16%是不明确的卵泡病变,0.9%是恶性,1.1%可疑患有恶性.
恶性病变在USG单个结节 (非囊性,非混合) 中明显更常见.
在USG上单个结节与恶性瘤的可能性增加了3.6倍 (OR95% CI:1.172-11.352).

结论:

甲状腺细针吸收活检与超声指导是甲状腺结节诊断的黄金标准.
在USG上存在单个结节是恶性瘤的重要预测因子.
将USG特征与FNAB结果集成,可以提高甲状腺结节的诊断准确度.

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