甲状腺结节的方法:诊断和治疗
Aram H AlSaedi1, Dalia S Almalki2, Reem M ElKady3
1College of Medicine, Taibah University, Madinah, SAU.
Cureus
|February 14, 2024
概括
甲状腺结节 (TNs) 是常见的,但大多数是良性的. 本综述阐明了TN评估,诊断和管理,强调基于超声波和细针吸收 (FNA) 结果的个性化,多学科的护理.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
背景情况:
- 甲状腺结节 (TNs) 非常普遍,影响高达50%的人.
- 虽然大多数TN是良性的,但部分可以是恶性的,需要仔细评估.
- 准确的评估对于区分良性和恶性结节以及指导治疗决策至关重要.
研究的目的:
- 审查甲状腺结节的患病率,类型和诊断过程.
- 概述目前对跨国网络的评估方法和基于证据的管理策略.
- 为后续护理提供建议,并强调个性化治疗的重要性.
主要方法:
- 关于甲状腺结节评估和管理的综合文献综述.
- 分析包括超声波和精细针吸收 (FNA) 在内的诊断方式.
- 评估当前的治疗指南和新兴的分子测试疗效.
主要成果:
- 超声波是评估TNs和确定活检必要性的主要成像方法.
- 细针吸收 (FNA) 细胞学对于风险分层和手术决策至关重要.
- 管理策略范围从监视到手术,根据FNA结果和超声波发现量身定制.
结论:
- 甲状腺结节的管理需要逐个案例的方法,整合超声波特征和FNA细胞学.
- 虽然分子测试显示出有希望的结果,但它们的临床实用性仍在调查中.
- 一种协作式的,多学科的方法确保了对甲状腺结节的最佳患者护理.
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