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肥胖与患有哈希莫托甲状腺炎的患者甲状腺恶性病的风险更高
Maria Fokou1, Aliki Economides2,3, Elpida Demetriou1
1Department of Medicine, School of Medicine, European University Cyprus, Nicosia 2404, Cyprus.
Diagnostics (Basel, Switzerland)
|April 12, 2025
概括
肥胖或体重过重与哈西莫托甲状腺炎 (HT) 患者更可疑的甲状腺结节有关. 患有HT的超重和肥胖个体也倾向于发展更多的甲状腺结节.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 肥胖和哈希莫托甲状腺炎 (HT) 是慢性炎症疾病.
- 肥胖可能会增加甲状腺结节和癌症风险,但其在HT患者中的作用尚不清楚.
研究的目的:
- 为了研究肥胖对HT患者甲状腺结节性的影响.
- 为了确定脂肪是否影响HT患者甲状腺癌的风险.
主要方法:
- 对294名HT患者进行了回顾性队列研究.
- 根据体重指数 (BMI) 分类的患者.
- 对超声波和细针吸收细胞学结果的评估.
主要成果:
- 与BMI<25 kg/m2 (27.03%与18.18%相比;p<0.01) 的患者相比,BMI≥25 kg/m2的患者显著更多的怀疑或恶性甲状腺细胞学 (Thy4-5).
- 超重/肥胖患者往往比正常体重患者 (2.36 ± 1.79) 有更多的甲状腺结节 (2.91 ± 2.11).
- 在超重/肥胖患者中,超声波分类为高度可疑的结节的比例较高 (28.20%与22.46%相比).
结论:
- 肥胖与哈希莫托甲状腺炎患者的可疑和恶性甲状腺细胞学增加有关.
- 超重和肥胖的HT患者可能患甲状腺结节的发病率更高.
- 需要进一步的研究来阐明肥胖,甲状腺结节和HT之间的联系机制.
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