超声波成像在积极监测小,低风险的乳头甲状腺癌的超声波成像
Sangeet Ghai1, David P Goldstein2, Anna M Sawka3
1Joint Department of Medical Imaging, University Health Network-Mount Sinai Hospital-Women's College Hospital, University of Toronto, Toronto, Canada. sangeet.ghai@uhn.ca.
Korean journal of radiology
|July 19, 2024
概括
积极监测 (AS) 为小乳头甲状腺癌 (PTC) 提供了一种不那么侵入性的方法. 目前的证据显示,在AS下低风险PTC的进展率很低,对较大的瘤的研究正在进行中.
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:
- 乳头甲状腺癌 (PTC) 的发病率有所增加,引起了人们对由于广泛使用超声波的过度诊断的担忧.
- 积极监测 (AS) 是对低风险PTC,特别是≤1厘米的PTC的不那么侵入性管理选项.
研究的目的:
- 审查对乳头甲状腺癌的积极监测的不断变化的格局.
- 突出超声波,标准化协议和多学科方法在PTC的AS中的作用.
主要方法:
- 关于低风险乳头甲状腺癌的积极监测的最近研究的综述.
- 分析AS协议,包括超声波评估,监测标准和进展定义.
- 讨论评估PTC进展和甲状腺外延伸的挑战.
主要成果:
- 据报道,低风险的PTC与AS一起管理的≤1cm的低疾病进展率.
- 研究正在探索AS对于较大的PTC (<20毫米) 的可行性.
- 在精确定义PTC进展方面仍然存在挑战,特别是在体积测量和小额甲状腺外延伸方面.
结论:
- 积极监测是选择低风险乳头甲状腺癌的可行策略.
- 标准化协议,细致的超声波评估和多学科合作对于有效的AS至关重要.
- 需要进一步的研究来完善PTC的AS标准和管理策略.
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