甲状腺结节的恶性病与贝塞斯达III类别的重复细针吸收活检
Jennifer Lourdes Ng1, Luz Margaret Escueta1, Oliver Allan Dampil1
1Section of Endocrinology, Diabetes and Metabolism, Department of Medicine, St. Luke's Medical Center, Quezon City, Philippines.
Journal of the ASEAN Federation of Endocrine Societies
|December 4, 2023
概括
在精细针吸收活检 (FNAB) 上,多次将甲状腺结节分类为贝塞斯达III类,显示出高恶性瘤风险. 超过64%的这些结节是恶性,这表明手术可能是一个可行的选择.
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:
- 甲状腺结节很常见,贝塞斯达类别III (AUS/FLUS) 提出了诊断上的挑战.
- 对贝塞斯达III结节的准确风险分层对于患者管理至关重要.
研究的目的:
- 为了确定甲状腺结节的恶性瘤风险,甲状腺结节一直被归类为贝塞斯达细针吸收活检 (FNAB) 的III类.
主要方法:
- 对59名患有甲状腺结节的成年患者进行了回顾性图表审查,这些患者接受了初始和重复的FNAB.
- 数据收集包括人口统计,临床和超声波特征以及细胞病理学/细胞病理学结果.
主要成果:
- 在59名患者中,38人 (64.41%) 在初始贝塞斯达III分类后重复FNAB时患有恶性结节.
- 临床,超声波或细胞病理特征没有显著差异,可以区分良性和恶性结节.
结论:
- 在FNAB上重复贝塞斯达III分类,由于恶性瘤的高发病率,需要考虑手术干预.
- 需要进一步研究更大的样本大小来证实这些发现.
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