与COVID-19相关的胸部断层扫描中的偶然甲状腺结节:一个巨大的队列
Burcak Cavnar Helvacı1, Didem Ozdemir2,3, Kubra Turan2,3
1Department of Endocrinology and Metabolism, Ankara City Hospital, Ankara, Turkey. burcakcavnar@gmail.com.
概括
在COVID-19期间的胸部CT扫描中,在3.82%的患者中偶然检测到甲状腺结节. 虽然CT可以帮助早期诊断,但由于癌症检测率低,它不是甲状腺评估的主要工具.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
背景情况:
- 在COVID-19大流行期间,计算机化胸部断层扫描 (CT) 的使用激增.
- 偶然的甲状腺结节 (ITN) 在成像研究中被意外检测出来.
- 这项研究评估了COVID-19肺炎CT扫描中的ITN发生率.
研究的目的:
- 通过胸部CT扫描检测到的偶然甲状腺结节的发生率.
- 评估这些结节的诊断途径.
主要方法:
- 对35113名接受COVID-19胸部CT检查的成年患者进行了回顾性分析.
- 审查医疗记录,甲状腺功能测试和成像发现.
- CT发现与超声波 (US) 和细针吸收活检 (FNAB) 结果的相关性.
主要成果:
- ITN 的患病率为3.82%.
- 在4.93%的患者中发现了甲状腺病理.
- 在那些有指示活检的人中,只有48.31%接受了FNAB,显示了51.30%的良性结果和3.46%的恶性瘤怀疑.
结论:
- 胸部CT扫描可以偶然检测甲状腺结节.
- 虽然CT可以促进早期诊断,但不建议作为主要甲状腺评估工具.
- CT上的偶然发现为早期甲状腺疾病的检测和管理提供了机会.
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