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不确定的 (U3) 甲状腺结节的管理和评估:为期5年的多站点回顾性研究

Ravi Patel¹, Alison Conybeare², Harrypal Panesar²

¹Department of Trauma and Orthopaedics, The Princess Royal Hospital, Apley Castle, Telford, TF1 6TF- United Kingdom, Department of Trauma and Orthopaedics, Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, United Kingdom.

Journal of Ayub Medical College, Abbottabad : JAMC

|July 9, 2023

概括

对于不确定的U3甲状腺结节,定期进行超声波扫描 (USS) 的观察和等待策略是有效的. 每6-12个月进行一次后续扫描,长达2.5年,可以帮助监测这些结节.

科学领域:

内分泌学在内分泌学.
放射学放射学是一门学科.
在瘤学瘤学.

背景情况:

超声波扫描 (USS) U分级系统评估甲状腺结节恶性瘤风险.
U3-5结节通常需要精细针吸入细胞学 (FNAC) 来确认.
不确定的U3结节需要仔细跟踪检测恶性瘤.

研究的目的:

审查未确定U3甲状腺结节的后续实践.
评估在随后的USS和FNAC检测恶性瘤的可能性.
为U3结节的管理策略提供信息.

主要方法:

对信任数据库 (门户) 的回顾性审查.
对U3结节患者的临床,手术和结局数据的分析.
包括5年时间内的258次扫描.

主要成果:

患者平均年龄为59岁,女性与男性的比例为4:1.
33%的初始Thy状态是良性的 (Thy2),25%是非诊断性的 (Thy1).
只有7个结节被升级为潜在的恶性瘤; Thy1,2,和3f产生良性组织学.

结论:

观察和等待策略对于U3结节 (Thy1-3f) 最长2.5年是合理的.
在6-12个月间隔执行4次后续扫描.
一个U3结节的Thy2结果需要持续怀疑恶性瘤.

关键词:

甲状腺结节; 诊断成像; 精细针吸入细胞学.美国扫描扫描.

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