相关实验视频

Updated: Sep 13, 2025

Substernal Thyroid Biopsy Using Endobronchial Ultrasound-guided Transbronchial Needle Aspiration

Substernal Thyroid Biopsy Using Endobronchial Ultrasound-guided Transbronchial Needle Aspiration

Published on: November 10, 2014

超声导向甲状腺细针吸收和同时进行核心针活检:与实际临床场景进行比较研究

Gabrielle E Bailey¹, Javad Azadi², Jonathon O Russell³

¹Department of Pathology, Division of Cytopathology, The Johns Hopkins Medical Institution, Johns Hopkins Hospital, Baltimore, MD, United States.

American journal of clinical pathology

|July 27, 2025

概括

甲状腺核针活检 (CNBs) 为细针吸收 (FNA) 提供了有价值的补充,提高了诊断准确度. 这种方法对困难的甲状腺结节病例特别有用,可能减少不必要的手术.

科学领域:

病理学病理学病理学
在瘤学瘤学.
内分泌学在内分泌学.

背景情况:

精细针吸收 (FNA) 是甲状腺结节评估的标准.
立即诊断或辅助研究并不总是临床上必要的.
甲状腺核针活检 (CNB) 是作为FNA的辅助研究.

研究的目的:

评估同时进行甲状腺核针活检 (CNBs) 与细针吸收 (FNA) 的实用性.
评估CNB的作用,当对细胞学材料的辅助研究是不可行的.
确定CNB是否可以改善甲状腺结节评估中的诊断产量.

主要方法:

电子病理学数据库 (2000-2024) 的回顾性搜索.
包括140例同时发生甲状腺FNA和CNB的病例.
收集有关人口统计,结节特征,诊断,辅助研究和外科病理学的数据.

主要成果:

同时的CNB在70%的病例中提供了最终的诊断.
在贝塞斯达的I类FNA病例中,CNB在64%的病例中进行了最终诊断.
确定了恶性瘤 (30.7%) 和良性诊断 (38.5%);7.8%的CNB没有诊断.

结论:

同时的FNA和CNB增强了甲状腺结节的诊断能力.
对于非诊断的FNA,非典型细胞和分子分析,CNB是有益的.
这种结合方法可能会减少对甲状腺手术的需要.

关键词:

贝塞斯达系统报告甲状腺细胞学甲状腺结节甲状腺结节核心针活检活检核心针活检细胞科学细胞学精细针的吸收方式

更多相关视频

Use of Electromagnetic Navigational Transthoracic Needle Aspiration E-TTNA for Sampling of Lung Nodules

Use of Electromagnetic Navigational Transthoracic Needle Aspiration E-TTNA for Sampling of Lung Nodules

Published on: May 23, 2015

High-frequency Ultrasound Imaging of Mouse Cervical Lymph Nodes

High-frequency Ultrasound Imaging of Mouse Cervical Lymph Nodes

Published on: July 25, 2015

相关概念视频

Endoscopic Studies II: Thoracocentesis

Endoscopic Studies II: Thoracocentesis

Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...

Ultrasound II: Endoscopic Ultrasound and FibroScan

Ultrasound II: Endoscopic Ultrasound and FibroScan

Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...