甲状腺附带瘤:审查检测方式并评估其对甲状腺癌诊断的贡献
Fábio Muradás Girardi1, Vivian P Wagner2, Manoela Domingues Martins3,4
1Integrated Oncology Center of Ana Nery Hospital, Borges de Medeiros Street, 274, 503, Santa Cruz do Sul, RS 96810-034 Brazil.
概括
由于其他原因在成像过程中偶然发现甲状腺结节,这对甲状腺癌的诊断有很大贡献. 这强调了调查偶然的甲状腺结节的重要性,即使是小的或无症状的.
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:
- 近几十年来,甲状腺癌的发病率不断增加.
- 关于甲状腺癌发病率上升的原因的持续辩论.
- 甲状腺结节是常见的发现,有各种检测方法.
研究的目的:
- 研究甲状腺结节的检测方法.
- 确定偶然发现对甲状腺癌诊断的贡献.
- 分析与偶然甲状腺结节检测相关的因素.
主要方法:
- 对576名患有1014个甲状腺结节的患者进行了回顾性分析.
- 结节检测的分类是偶然的或非偶然的.
- 统计分析包括单变量和多变量模型.
主要成果:
- 60.2%的甲状腺结节是偶然诊断的,通常是在对无关条件的成像过程中诊断的.
- 偶然诊断与较小的结节大小,不可触摸的结节和早期的癌症阶段 (T1-2) 有关.
- 偶然发现占确诊的甲状腺癌的53.8%,在非偶然诊断中,晚期更为常见.
结论:
- 甲状腺结节的偶然诊断是甲状腺癌检测的主要驱动因素.
- 这种途径在所有结节大小中都很重要,特别是在早期癌症中.
- 通过偶然发现的早期检测有助于在较不晚的阶段管理甲状腺癌.
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