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良性甲状腺结节分类为ACR TI-RADS 4或5:成像和组织学特征

Jiamin Chen¹, Dalin Ye¹, Shuhui Lv¹

¹The Fifth Affiliated Hospital Sun Yat-Sen University, Zhuhai 519000, China.

European journal of radiology

|March 17, 2024

概括

带有纤维化的良性甲状腺结节可以在超声波上模仿恶性特征,从而导致美国放射学学院甲状腺成像报告和数据系统 (ACR TI-RADS) 的得分更高. 了解这些重叠可以提高甲状腺结节的诊断准确度.

科学领域:

放射学放射学是一门学科.
病理学病理学病理学
在瘤学瘤学.

背景情况:

美国放射学学院甲状腺成像报告和数据系统 (ACR TI-RADS) 广泛用于甲状腺结节评估.
叠加的超声波 (US) 成像特征可以发生在良性和恶性甲状腺结节之间,使诊断复杂化.

研究的目的:

分析ACR TI-RADS 4或5分类的良性甲状腺结节的成像和组织学特征.
在错误诊断的病例中,探索可疑的超声波标志和组织病理特征之间的相关性.

主要方法:

从手术切除 (2020年12月至2022年8月) 中对227个良性甲状腺结节 (ACR TI-RADS 4或5) 的回顾性分析.
美国图像和病理学发现的系统审查.
使用千平方和费舍尔精确测试进行统计分析.

主要成果:

纤维化是 ACR TI-RADS 4 和 5 分类中的良性结节中最常见的组织病理特征 (45.4%).
带有纤维化的甲状腺结节显示出"高于宽"的美国特征 (p<0.05).
毛囊上皮质增生与美国的不规则边缘和低可热性相关 (p<0.05).

结论:

带有纤维化的良性甲状腺结节可能表现出可疑的美国特征,可能导致高估的ACR TI-RADS分层.
组织病理学分析对于理解美国对甲状腺结节的错误分类至关重要.

关键词:

这就是ACR TI-RADS.良性甲状腺结块是一种良性甲状腺结块.错误的阳性结果是错误的组织病理学组织病理学超声波成像超声波成像

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