从甲状腺结节吸入的类似粘土的材料的诊断意义
Risa Kanematsu1, Mitsuyoshi Hirokawa1, Ayana Suzuki1
1Department of Diagnostic Pathology and Cytology, Kuma Hospital, Kobe, Japan.
CytoJournal
|June 18, 2024
概括
甲状腺吸附剂中的粘土状物质通常表明良性囊性病变,有助于评估样本的充分性. 这种粗略的视觉评估有助于避免对甲状腺结节进行不必要的重复手术.
科学领域:
- 内分泌学 在内分泌学.
- 细胞病理学 细胞病理学
- 手术病理学手术病理学
背景情况:
- 吸入材料的现场粗视觉评估对于确定样本的充分性至关重要.
- 很少有研究研究了甲状腺吸附剂的粗略发现.
- 甲状腺吸附物中粘土状物质的诊断意义需要澄清.
研究的目的:
- 为了澄清从甲状腺结节中吸入的类似粘土的材料的诊断意义.
- 评估粘土类材料和结节特征之间的关联.
- 评估粗视觉评估对甲状腺吸附剂充足性的有用性.
主要方法:
- 对69848个接受吸收细胞学的甲状腺结节进行了回顾性审查.
- 分析了355个带有吸入材料的结节,这些材料被描述为类似粘土的.
- 总体发现与细胞学和超声波结果的相关性.
主要成果:
- 90.7%的粘土类吸入物是囊性液体或良性.
- 在5.9%的病例中发现了恶性细胞,并指出了乳头甲状腺癌.
- 恶性瘤的总体风险为3.9%,在高度可疑的结节 (37.5%) 中更高.
结论:
- 甲状腺吸附剂中的类似粘土的物质往往表明良性囊性病变,或者很少发生心脏病发作.
- 识别类似粘土的材料有助于评估样本的充分性,可能避免重复刺穿.
- 现场粗视觉评估仍然是预测样本充足性的宝贵工具.
相关概念视频
The Thyroid Gland
3.8K
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...
3.8K
Synthesis and Regulation of Thyroid Hormones
4.5K
Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
4.5K
Radiological Investigation I: X-ray and CT
226
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
226


