检查包括COVID-19在内的几个因素对甲状腺细针吸收活检的影响
Muzaffer Serdar Deniz1, Merve Dindar2
1Department of Endocrinology, Faculty of Medicine, Education and Research Hospital, Karabük University, Karabük, Turkey.
Diagnostic cytopathology
|October 12, 2023
概括
甲状腺细针吸收活检 (TFNAB) 对小结节或未在TIRADS3.S中出现的结节的诊断不太可能. 需要进一步的研究来证实这些发现,并探索COVID-19对甲状腺结节诊断的长期影响.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
背景情况:
- 甲状腺细针吸收活检 (TFNAB) 对于诊断甲状腺结节至关重要.
- 影响TFNAB诊断产量的因素需要进一步调查.
- COVID-19对甲状腺结节诊断的影响是一个新兴的研究领域.
研究的目的:
- 探索影响TFNAB诊断价值的因素.
- 为了比较非诊断 (贝塞斯达I) 和诊断 (贝塞斯达II-VI) TFNAB结果.
- 评估COVID-19病史和疫苗接种状态在TFNAB结果中的作用.
主要方法:
- 对482个甲状腺结节进行了回顾性观察研究.
- 对2022年11月至2023年4月的细胞病理学和患者数据的分析.
- 分类为非诊断 (n=136) 和诊断 (n=346) 组.
主要成果:
- 诊断TFNAB组的平均节点纵向直径显著更大 (p=0.015).
- TIRADS评分显示了诊断和非诊断组之间的统计差异 (p=0.048).
- 两组之间的COVID-19相关变量没有发现显著差异.
结论:
- 小型甲状腺结节的大小和TIRADS类别,TIRADS3以外的其他类别可能会降低TFNAB诊断产量.
- 未来的研究应该验证这些发现.
- COVID-19和疫苗对甲状腺结节诊断的长期影响需要进一步研究.
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