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评估甲状腺结节在患有细针吸收活检的患者

Ebru Turkkan¹, Yusuf Uzum¹

¹Internal Medicine, Katip Celebi University, Ataturk Training and Research Hospital, Izmir, TUR.

|October 4, 2023

概括

甲状腺细针吸收活检 (FNAB) 可以准确地识别良性结节,但有局限性,结果可疑. 怀疑的FNAB发现,虽然通常是良性的,但在最终的病理学报告中表明恶性瘤的可能性更高,有助于进行手术的决定.

科学领域:

内分泌学在内分泌学.
在瘤学瘤学.
病理学病理学病理学

背景情况:

由于先进的成像技术,甲状腺结节的发生率越来越高.
甲状腺细针吸收活检 (FNAB) 是评估甲状腺结节的关键诊断工具.
在结节评估中,FNAB提供了准确性,可靠性和成本效益.

研究的目的:

为了分析甲状腺细针吸收细胞学 (FNAC) 结果.
为了确定可疑的FNAC发现恶性瘤的预测价值.
评估甲状腺结节中FNAC和最终组织病理学之间的相关性.

主要方法:

对411名接受甲状腺FNAC和手术的患者进行了回顾性分析.
收集的数据包括年龄,性别,FNAC结果,手术类型和组织病理学.
排除有头癌病史的患者.

主要成果:

与病理学结果没有显著的人口统计相关性.
在FNAC和FNAB病理学结果之间发现了强烈的相关性 (p<0.05).
高灵敏度 (47%) 和特异性 (99.1%) 对FNAB;PPV 93.9%,NPV 85.8%对良性诊断.

结论:

在诊断良性甲状腺结节时,FNAB具有高度准确性.
对于不确定重要性的可疑异型/不确定重要性的毛囊病变 (AUS/FLUS) 发现,手术决策仍然具有挑战性.
怀疑的FNAC结果与最终组织病理学恶性瘤的更高概率相关,指导手术干预.

关键词:

活组织活检精细针吸收活组织检查甲状腺是什么?甲状腺是什么?甲状腺疾病甲状腺疾病甲状腺结节甲状腺结节甲状腺切除术是指甲状腺切除术.

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