我们应该重新考虑甲状腺超声波中的高风险特征吗?
Asena Gökçay Canpolat1, Dursun Göktürk Taşkın2, Hilal Yıldırım Deryol3
1Ankara University, School of Medicine, Department of Endocrinology and Metabolism - Ankara, Turkey.
概括
圆形甲状腺结节的恶性瘤发病率高于卵状结节. 这一发现表明,在超声波风险分层中添加结节形状,以更好地定位活检.
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:
- 目前的甲状腺结节指南表明,圆形可以降低恶性瘤的风险.
- 然而,一些研究表明,球形甲状腺结节的恶性瘤风险更高.
研究的目的:
- 为了评估固体,圆形,异声型甲状腺结节的恶性瘤风险.
- 为了将这种风险与使用甲状腺超声波的固体,卵状,异声结节进行比较.
主要方法:
- 457个单独的固体异声结节 (2017-2022) 的回顾性分析.
- 结节的直径为10-25毫米.
- 收集的数据包括患者的人口统计,结节特征和细胞病理学/细胞病理学结果.
主要成果:
- 在457个结节中,203个是圆形的,254个是卵形的.
- 在54次手术中检测到31种恶性瘤.
- 圆形结节占25种恶性瘤,而卵状结节占6种 (p<0.025).
结论:
- 固体,圆形,异声型的甲状腺结节与卵状结节相比,具有更高的恶性瘤率.
- 结节的球状性应被视为风险分层和活检决定的一个参数.
- 超声波风险分层系统可能受益于纳入结节形状.
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