结节的特征及其与乳头甲状腺癌的相关性:一个横截面研究
Meng Wang1, Shaogang Ma2, Guangwei Jiang3
1Department of Endocrinology and Metabolism, Linping Campus, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, CHN.
Cureus
|December 31, 2024
概括
结节性喉 (NG) 在甲状腺手术中很常见,并且显著增加了乳头甲状腺癌 (PTC) 的风险. 甲状腺刺激激素 (TSH) 和癌胚抗原 (CEA) 水平的升高与NG患者的PTC有关.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 手术病理学手术病理学
背景情况:
- 结节性喉 (NG) 是一种常见的甲状腺疾病.
- NG与乳头甲状腺癌 (PTC) 之间的关联需要进一步调查.
- 了解NG的临床特征对于治疗甲状腺疾病至关重要.
研究的目的:
- 为了研究结节性喉 (NG) 的临床特征.
- 确定结节性喉 (NG) 和乳头性甲状腺癌 (PTC) 之间的关系.
- 在NG患者中确定与PTC相关的潜在生物标志物.
主要方法:
- 对282名因怀疑甲状腺癌而接受甲状腺手术的患者的回顾性分析.
- 实验室检测,超声波和病理学数据的比较,用和没有NG的患者之间.
- 统计分析以评估临床特征和结果差异的意义.
主要成果:
- 结节性喉 (NG) 在48.9%的患者中存在.
- 与没有NG的患者相比,NG患者的PTC (23.2%) 和出血率 (29.0%) 较高 (p < 0.001).
- 甲状腺刺激激素 (TSH) 和癌胚抗原 (CEA) 水平的升高在PTC患者中显著更高,特别是那些NG患者 (p < 0.001).
结论:
- 结节性喉 (NG) 在接受甲状腺手术的患者中非常普遍.
- NG与患乳头甲状腺癌 (PTC) 的风险增加有关.
- 提升的TSH和CEA水平可能作为NG患者PTC的指标,需要进一步的临床关注.
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