相关实验视频

Updated: Sep 16, 2025

Computer-Aided Three-Dimensional Visualization in the Treatment of Locally Advanced Thyroid Cancer

Computer-Aided Three-Dimensional Visualization in the Treatment of Locally Advanced Thyroid Cancer

Published on: June 9, 2023

管理TBSRTC III甲状腺结节:评估重复FNA,分子测试和手术

Christopher Dilli¹, William Mi², Daniel L Miller³

¹Saint Louis University School of Medicine, St. Louis, Missouri.

Journal of the American Society of Cytopathology

|July 11, 2025

概括

重复细针吸收 (FNA) 是一种具有成本效益的策略,用于管理具有不确定的重要性 (AUS) 的异型性甲状腺结节,在不影响恶性瘤或手术率的情况下解决了近50%的病例.

科学领域:

内分泌学在内分泌学.
在瘤学瘤学.
诊断细胞病理学诊断细胞病理学

背景情况:

甲状腺结节很常见,大多数是良性的.
不确定的意义上的非典型性 (AUS) 或贝塞斯达III结节带来了管理挑战.
目前的选择包括监视,重复FNA,分子测试和手术,而分子测试成本昂贵.

研究的目的:

评估AUS结节重复FNA的可行性和成本效益.
为了将重复FNA结果与分子测试和手术干预进行比较.
评估预视镜超声波在风险分层中的有用性.

主要方法:

来自5家医院的131个AUS结节 (2018-2024) 的回顾性多机构研究.
由初始管理分层的结节:重复FNA,分子测试或手术.
临床分析,超声波发现,恶性瘤率和估计成本 (医疗保险费率) 的分析.

主要成果:

重复FNA在48.7%的病例中产生良性诊断,在35.9%的病例中产生AUS.
重复FNA是最具成本效益的管理策略.
在重复FNA和分子测试之间,恶性瘤或手术干预率没有显著差异.
声源性焦点是唯一一个与恶性瘤有显著关联的超声波发现.

结论:

重复FNA是AUS结节的成本有效的初始方法,大约50%的病例得到解决.
关于恶性瘤和手术干预的结果与分子测试相似.
预先检查超声波在预测AUS结节的恶性瘤风险方面具有有限的价值.

关键词:

不确定的意义上的非典型性 (AUS)经济效益性经济效益性精细针吸收 (FNA) 是一种方法.恶性瘤的发生率.分子测试是分子测试.甲状腺结节甲状腺结节

更多相关视频

Mixed Reality Assisted Radical Endoscopic Thyroidectomy

Mixed Reality Assisted Radical Endoscopic Thyroidectomy

Published on: January 31, 2025

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma

Published on: September 15, 2023

相关概念视频

Synthesis and Regulation of Thyroid Hormones

Synthesis and Regulation of Thyroid Hormones

Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...

Aneurysm III: Interprofessional Care

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...