甲状腺成像报告和数据系统3类 (TI-RADS 3) 甲状腺结节的恶性病变率:一项回顾性研究
Renad AlSubaie1, Abdullah Al Amer1, Omar A Al Najjar2
1Medicine and Surgery, King Faisal University, Al Ahsa, SAU.
Cureus
|December 14, 2023
概括
大多数甲状腺成像报告和数据系统 (TI-RADS) 3甲状腺结节是良性的. 临床特征无法预测恶性瘤,因此需要采用综合方法来管理这些中等风险结节.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 放射学 放射学是指放射学
背景情况:
- 全球甲状腺癌发病率正在上升,特别是在年轻人中.
- 早期检测甲状腺结节 (TNs) 由于其潜在的恶性病变至关重要.
- 甲状腺成像报告和数据系统 (TI-RADS) 分层TN风险,TI-RADS 3表示中间恶性瘤风险.
研究的目的:
- 为了确定TI-RADS 3甲状腺结核中的癌症率.
- 评估TI-RADS在预测中等风险结节的恶性瘤方面的准确性.
- 为提升TI-RADS 3节点的诊断和管理策略.
主要方法:
- 从2019年1月到2023年5月,对162名TI-RADS 3结节患者进行了回顾性研究.
- 从电子医疗记录中提取数据,包括人口统计和病理学.
- 使用SPSS进行统计分析,以将临床特征与活检结果相关联.
主要成果:
- 该队列包括82.1%的女性,平均年龄为43岁.
- 分析显示了92.0%的良性和8.0%的恶性TI-RADS 3结节.
- 对于恶性瘤预测,年龄,性别和活检结果之间没有发现显著的相关性.
结论:
- 大多数TI-RADS 3甲状腺结节都是良性的.
- 不建议在临床决策中仅仅依赖TI-RADS.
- 将TI-RADS与其他结节特征相结合的综合方法对于患者管理至关重要.
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