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一个孤独的甲状腺结节中的恶性病变:一个回顾性组织病理学评估
1Department of Surgery, College of Medicine, King Khalid University, Abha, Saudi Arabia.
International journal of general medicine
|January 22, 2024
概括
在接受手术的成年人中发现的单独甲状腺结节有31%的恶性瘤率. 乳头癌是最常见的恶性癌症类型,强调需要对这些结节进行彻底评估.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 手术病理学手术病理学
背景情况:
- 孤独的甲状腺结节是常见的临床发现.
- 准确的诊断对于适当的管理至关重要.
- 恶性瘤的发病率各不相同,需要进一步调查.
研究的目的:
- 为了确定在接受手术的单独甲状腺结节患者中恶性瘤的流行率和类型.
- 为了评估经过手术切除的单独甲状腺结节的组织病理学发现.
主要方法:
- 在2019年1月至2022年10月期间接受过甲状腺手术的单独甲状腺结节的成年患者的回顾性评估.
- 超声波用于初始结节的识别.
- 通过电子记录确认了病理诊断.
主要成果:
- 共有42名患者接受了单独的甲状腺结节手术.
- 平均年龄为39.1岁,76.2%是女性.
- 总体恶性瘤的发病率为31%,主要是乳头癌.
结论:
- 单独的甲状腺结核具有恶性瘤的显著风险.
- 对于单独的甲状腺结节,建议使用高怀疑指数和彻底评估.
- 手术干预为这些结节提供了最终的病理诊断.
相关概念视频
The Thyroid Gland
The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
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Goiter refers to an abnormal enlargement of the thyroid gland that may appear as a diffuse goiter (uniform enlargement) or nodular (single or multiple nodules). Functionally, it is classified as nontoxic (normal/low hormone levels) or toxic (excess hormone production).PathophysiologyDiffuse thyroid enlargement typically results from prolonged stimulation by thyroid-stimulating hormone (TSH) or TSH-like agents, commonly seen in hypothyroidism or iodine deficiency. In contrast, in hyperthyroid...
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Hypothyroidism is a disorder characterized by insufficient production of thyroid hormones, which regulate metabolism, energy balance, and multiple organ systems.TypesHypothyroidism is classified based on the level of dysfunction. Primary hypothyroidism results from intrinsic thyroid gland dysfunction, causing reduced hormone production despite normal or increased stimulation. Secondary hypothyroidism arises from inadequate thyroid-stimulating hormone (TSH) secretion by the pituitary. Tertiary...

