甲状腺结节的临床意义和负担是偶然发现的
Rohil F Dureja1, Caoimhe Casey1,2, Josephine Barry3
1School of Medicine, University College of Cork, Cork, Ireland.
Irish journal of medical science
|December 26, 2024
概括
在成像扫描中发现的甲状腺意外瘤很少是恶性的. 这项研究表明,报告这些发现没有临床益处,可能会导致患者焦虑和不必要的医疗费用.
科学领域:
- 放射学 放射学是一门学科.
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
背景情况:
- 大多数甲状腺结节是良性的,但指导方针建议评估附带瘤以排除恶性瘤.
- 甲状腺偶发性瘤是在其他疾病的成像中发现的病变.
研究的目的:
- 为了确定爱尔兰甲状腺意外瘤的发病率.
- 评估这些偶发性瘤中恶性瘤的可能性.
主要方法:
- 1000份放射学报告的回顾性图表审查 (心脏状腺多普勒和CT胸部).
- 手动查"甲状腺质量"或"甲状腺结节"的短语.
- 随访超声波和细针吸收,以检测大于1厘米的结节.
主要成果:
- 确定了14种 (1.4%) 甲状腺附带瘤.
- 偶发性瘤发生率:超声波时为0.4%,CT时为2.4%.
- 三个结节经过进一步评估;所有都被归类为良性 (Thy 2).
结论:
- 在放射学研究中报告偶然的甲状腺发现没有提供临床益处.
- 恶性瘤发病率低表明,目前的评估方案可能会导致不必要的患者负担和医疗保健费用.
- 该研究主张不定期报告意外瘤,以减少患者的焦虑和医疗保健压力.
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