甲状腺癌的差异和相似之处偶然发现或通过甲状腺相关的查:一个多中心研究
Laura Croce1, Rosaria Maddalena Ruggeri2, Camilla Virili3
1L Croce, Department of Internal Medicine and Therapeutics, University of Pavia, Pavia, Italy.
European thyroid journal
|January 22, 2025
概括
甲状腺癌 (TC) 偶然诊断 (ID) 与甲状腺相关 (TD) 诊断呈现不同,ID患者年龄较大,男性,并具有更多的并发症. 然而,TC生物特征在两组中仍然相似.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 甲状腺癌 (TC) 的患病率在全球范围内正在上升,通常与代谢和心血管疾病有关.
- 越来越多的TC病例是偶然通过成像诊断出无关的疾病.
研究的目的:
- 为了确定甲状腺相关 (TD) 与TC的偶然 (ID) 诊断的患病率.
- 为了比较TD和ID组之间的临床特征,TC严重程度和并发症率.
主要方法:
- 在三个意大利医院中心进行的回顾性队列研究.
- 对327名TC患者的手术前诊断原因,患者人口统计,BMI和并发症的分析.
主要成果:
- 80.1%的TC诊断是与甲状腺有关的 (TD),而19.9%是偶然的 (ID).
- 与TD组相比,ID患者更频繁是男性,年龄较大,BMI,非甲状腺癌和心血管/代谢并发症较高.
- 在TC组织型,大小,分期或组间风险分层方面没有发现显著差异.
结论:
- 虽然TC的生物特征在TD和ID群体中相似,但存在显著的临床差异.
- 偶然诊断TC与独特的患者形状和更高的并发病率有关.
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