急性过渡性甲状腺裂:一种新的疾病实体作为急性过渡性甲状腺胀的轻度形式的建议
Yuji Nagayama1, Hisakazu Shindo2, Seigo Tachibana1
1Department of Endocrinology, Yamashita Thyroid Hospital, Fukuoka City, Japan.
Endocrine research
|June 2, 2025
概括
精细针吸收活检 (FNAB) 后甲状腺胀可能是有症状的 (急性短暂的甲状腺胀) 或无症状的 (急性短暂的甲状腺裂). 识别无症状形式是避免不必要治疗的关键.
科学领域:
- 内分泌学 在内分泌学.
- 放射学 放射学是一门学科.
- 病理学 病理学 病理学
背景情况:
- 精细针吸收活检 (FNAB) 是评估甲状腺结节的常见程序.
- 活检后可以出现甲状腺胀,但其临床意义和分类需要进一步调查.
研究的目的:
- 为了研究甲状腺胀后FNAB的临床和超声波特征.
- 区分FNAB后甲状腺胀的症状和无症状表现.
主要方法:
- 872名接受FNAB前后甲状腺超声波检查的患者的回顾性审查.
- 鉴定FNAB后出现新的低音裂纹的患者.
- 评估临床症状,胀程度和结果.
主要成果:
- 在2.1%的患者 (18/872) 中出现了低音裂纹.
- 3名患者 (17%的受影响者) 出现了症状性胀 (>1.8倍增加).
- 15名患者出现了无症状胀 (<1.5倍增加);没有临床因素预测症状. 所有病例都自发地消失了.
结论:
- 后FNAB甲状腺胀可以分为有症状的急性短暂甲状腺胀 (ATTS) 和无症状的急性短暂甲状腺裂 (ATTC).
- ATTC是一种轻微的,自我限制的疾病,不需要干预.
- 区分ATTC和ATTS对于适当的患者管理和避免不必要的治疗至关重要.
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