甲状腺结节的诊断和管理
Suganya Sekar1, Deepak Thomas Abraham2
1Department of Endocrine and Breast Surgery, Velammal Medical College Hospital, Madurai, Tamil Nadu, India.
Current opinion in endocrinology, diabetes, and obesity
|September 8, 2025
概括
大多数甲状腺结节都是良性的,但仔细评估是关键. 疑似结节需要进一步测试,而其他可能受益于监视或微创治疗,以避免不必要的手术.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
背景情况:
- 越来越多地使用成像技术导致了更多的偶然发现甲状腺结节.
- 超过90%的甲状腺结节是良性的,需要谨慎的管理策略.
- 准确的评估和跟踪对防止不必要的手术和并发症至关重要.
研究的目的:
- 审查目前关于诊断和管理甲状腺结节的医学证据.
- 为区分良性结核与潜在恶性结核提供指导.
- 根据结节的特征概述适当的治疗途径.
主要方法:
- 审查当前的医学文献和证据.
- 分析诊断方式,包括超声波和细胞病理学.
- 评估治疗选择,从积极监测到手术干预.
主要成果:
- 广泛的成像已经增加了偶然的甲状腺结节检测,主要是良性的.
- 怀疑或有症状的结节需要超声波和细胞病理学.
- 不确定的结节可能从分子测试或液体活检中受益.
- 积极监测是适合选择恶性结节.
- 对于小的良性结节,存在微创的选择,如乙醇注射或热除.
结论:
- 临床评估,超声波和细胞病理学对于症状或可疑的结节是必不可少的.
- 分子测试和液体活检有助于管理不确定的结节.
- 积极监测是针对特定恶性结节的一个可行的选择.
- 最少侵入性治疗和手术选择,如甲状腺切除术或全甲状腺切除术是根据结节类型和患者呈现量身定制的.
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