甲状腺细针吸收:细胞病理学当前和未来的景观
Jaylou M Velez Torres1, Louis J Vaickus2, Darcy A Kerr2
1University of Miami Hospital, Miller School of Medicine, 1400 NW 12th Avenue, Room 4078, Miami, FL 33136, USA. Electronic address: https://twitter.com/JaylouVelez.
Surgical pathology clinics
|August 12, 2024
概括
甲状腺细胞学的进步改善了结节的诊断和风险分层. 分子测试有助于术前风险评估,指导患者治疗甲状腺结节.
科学领域:
- 细胞病理学 细胞病理学
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
背景情况:
- 甲状腺细胞学对于诊断甲状腺结节至关重要.
- 准确的诊断可以区分良性病变和恶性病变.
- 当确定诊断具有挑战性时,需要进行风险分层.
研究的目的:
- 要总结最近在甲状腺细胞学方面的进展.
- 为了突出贝塞斯达系统的作用.
- 讨论分子测试的整合.
主要方法:
- 精细针吸收 (FNA) 用于甲状腺结节的诊断.
- 使用贝塞斯达系统报告甲状腺细胞病理.
- 包括分子测试来进行风险分层.
主要成果:
- 甲状腺细胞学已经显著发展.
- 贝塞斯达系统提供了一个统一的报告框架.
- 分子测试提供可靠的手术前风险分层.
结论:
- 现代甲状腺细胞学提高了诊断的准确性.
- 分子测试细化了风险类别 (低,中,高).
- 这些工具指导个性化的患者治疗策略.
相关概念视频
The Thyroid Gland
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...
Synthesis and Regulation of Thyroid Hormones
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 iodine is then...
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 iodine is then...
Hyperthyroidism II: Pathophysiology
Hyperthyroidism is a hypermetabolic state caused by elevated levels of thyroid hormones, triiodothyronine (T3) and thyroxine (T4). It results from dysregulation at the thyroid, pituitary, or immune system level and affects multiple organ systems.PathophysiologyThe most common cause of hyperthyroidism is Graves’ disease, an autoimmune disorder in which antibodies, specifically thyroid-stimulating antibodies (TSAb), a subtype of TSH receptor antibodies (TRAb), bind to and activate TSH receptors...


