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对成年人甲状腺结节具有高于宽的形状的组织病理学分析
Xi-Yue Yang1, Li-Fang Huang2, Yue-Jian Han1
1Department of Diagnostic Ultrasound, Guigang People's Hospital, Guigang, Guangxi Province, People's Republic of China.
International journal of general medicine
|November 13, 2024
概括
高于宽的甲状腺结节通常是恶性的,而低甲状腺原性表明风险更高. 扩散性纤维化是关键的组织病理学特征,与甲状腺癌中的这些超声波发现有关.
科学领域:
- 放射学和瘤病理学病理学
- 甲状腺成像和组织病理学
背景情况:
- 超声波上的高于宽 (TTW) 形状对甲状腺癌具有特异性,但不敏感.
- TTW甲状腺结节的组织病理特征还没有得到充分的研究.
- 其他超声波恶性特征已经得到了充分的研究.
研究的目的:
- 为了研究显示TTW形状的甲状腺结节的组织病理特征.
- 为了将超声波检测结果与TTW甲状腺结节的组织病理学特征相关联.
主要方法:
- 追溯分析了来自1680名患者的85个TTW甲状腺结节.
- 使用中国甲状腺成像报告和数据系统 (C-TIRADS) 记录超声波特征.
- 毛囊细胞排列,纤维化和淋巴细胞透的组织病理学评估.
主要成果:
- 84.71%的TTW结节是恶性的; 15.29%是良性的.
- 结节的回声性是良性和恶性结节之间的显著差异化因素 (P=0.003).
- 纤维化增加与回声性降低相关 (OR=4.500).
结论:
- 扩散性纤维化是甲状腺癌中常见的基因病理特征,与超声波上的低可热性相关.
- TTW的形状高度暗示恶性瘤,特别是当与中度或明显的低生殖性相关时.
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