重复甲状腺细针吸收活检的最佳时间
Mevra Cay1, Ihsan Turan1, Eda Mengen1
1Department of Pediatric Endocrinology, Faculty of Medicine, 63988 Çukurova University , Adana, Türkiye.
Journal of pediatric endocrinology & metabolism : JPEM
|March 8, 2025
概括
重复细针吸收 (FNA) 活检儿童甲状腺结节应发生在3-6个月内. 对非诊断性结节的早期重复活检不会影响诊断产量,从而可以及时进行手术干预.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 诊断细胞病理学诊断细胞病理学
- 手术瘤学手术瘤学
背景情况:
- 甲状腺结节在儿童和青少年中很常见,需要准确的诊断.
- 精细针吸收 (FNA) 活检是关键的诊断工具,但有时需要重复手术.
- 在儿科患者中重复FNA活检的最佳时间仍在争论中.
研究的目的:
- 为了确定在儿科患者中重复甲状腺FNA活检的理想间隔.
- 评估重复FNA活检时间对最终病理诊断的影响.
- 完善儿童甲状腺结节的管理指南.
主要方法:
- 对99名患有甲状腺结节的儿科患者进行了回顾性单中心研究.
- 分析甲状腺超声波 (USG) 和FNA活检数据从2013-2023.
- 记录FNA活检之间的间隔,并与手术细胞学结果进行比较.
主要成果:
- 最初的FNA结果显示46.5%为良性,24.2%为非诊断性,5.1%为恶性结节.
- 在良性初始FNA细胞学中观察到6.5%的错误阴性率.
- 对非诊断性结节的早期重复FNA (<3个月) 并没有改变诊断产量.
结论:
- 重复FNA活检用于未诊断的结节与可疑的USG发现应在3个月内进行.
- 重复FNA活检检查良性结节与可疑的USG发现应在6个月内进行.
- 及时重复FNA活检有助于更早地进行手术,特别是在恶性病例中.
相关概念视频
Radiological Investigation III: Pulmonary Angiogram and PET Scan
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Endoscopic Procedures II: Colonoscopy
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
Endoscopic Procedures III: Video Capsule Endoscopy
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers, unexplained...
Imaging Studies III: Computed Tomography
DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...


