临床风险因素和甲状腺成像报告和数据系统的癌症风险 4A类甲状腺结节
Jing Cheng1, Bing Han1, Yingchao Chen1
1Department of Endocrinology and Metabolism, Shanghai Ninth People's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200011, China.
Journal of cancer research and clinical oncology
|June 24, 2024
概括
高龄降低了中国TIRADS 4A甲状腺结节中恶性瘤的风险. 患者的年龄与超声波特征一起是评估甲状腺结节恶性瘤风险的关键因素.
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:
- 像TIRADS这样的甲状腺结节分类系统有助于风险分层.
- 精细针吸收 (FNA) 是由结节特征和临床因素指导的.
- 在特定的TIRADS类别中确定恶性瘤的额外危险因素是必不可少的.
研究的目的:
- 在中国-TIRADS (C-TIRADS) 4A甲状腺结节中识别恶性瘤的危险因素.
- 评估患者人口统计和生活方式因素在预测恶性瘤中的作用.
主要方法:
- 对252名患有C-TIRADS 4A结节的患者进行了回顾性分析,这些患者接受了甲状腺FNA.
- 收集人口统计,生活方式和临床数据.
- 使用贝塞斯达系统报告甲状腺细胞病理的细胞学诊断.
主要成果:
- 在252个C-TIRADS 4A结节中,有103个是恶性的.
- 恶性结节与较年轻的患者年龄 (平均42.2岁) 相比,与良性结节 (平均51.5岁) 相关.
- 高龄 (≥48.5岁) 与恶性瘤风险降低显著相关 (OR=0.95,P<0.001).
结论:
- 先进的患者年龄是C-TIRADS 4A甲状腺结节中恶性瘤风险降低的一个重要因素.
- 年龄应纳入甲状腺结节的风险评估方案,以补充超声波发现.
- 这一发现可能有助于对特定患者群体精细针吸血的必要性做出更精细的决定.
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