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甲状腺结节的频率和恶性风险根据ATA-2015和ACR-TI-RADS对肥胖患者的分类

Z Yarar¹, H Çalişkan Burgucu², M Can³

¹Department of Internal Medicine, Division of Endocrinology and Metabolism, Tokat State Hospital, Tokat.

Acta endocrinologica (Bucharest, Romania : 2005)

|October 10, 2025

概括

肥胖与甲状腺结节的更高患病率有关. 然而,根据已建立的超声波分类系统,肥胖不会增加这些甲状腺结节的恶性瘤风险.

科学领域:

内分泌学在内分泌学.
放射学放射学是一门学科.
在瘤学瘤学.

背景情况:

肥胖是一个日益严重的全球健康问题.
甲状腺结节很常见,其评估依赖于成像和风险分层.
了解肥胖和甲状腺结节特征之间的关系对于临床管理至关重要.

研究的目的:

为了比较甲状腺结节超声检查结果,频率和肥胖和非肥胖个体之间的恶性瘤风险.
评估美国甲状腺协会 (ATA) 和美国放射学学院甲状腺成像报告和数据系统 (ACR-TIRADS) 在评估这些群体中的结节方面的实用性.

主要方法:

一项比较研究包括111名肥胖者和111名年龄和性别匹配的非肥胖对照.
用ATA和ACR-TIRADS分类系统评估甲状腺结节恶性瘤风险.
对可疑的结节进行了细针吸收活检 (FNAB) 和细胞病理评估 (贝塞斯达系统).

主要成果:

两组之间在年龄,性别,TSH水平或甲状腺体体积方面没有发现显著差异.
在32.4%的肥胖人群中检测到甲状腺结节,而对照人群中为19.8% (p=0.046).
根据超声波分类,甲状腺结节的恶性瘤风险在肥胖和非肥胖患者之间没有差异.

结论:

与非肥胖个体相比,肥胖个体出现甲状腺结节的频率更高.
超声波分类系统 (ATA和ACR-TIRADS) 表明肥胖患者甲状腺结节的恶性瘤风险没有增加.
进一步的研究可能会探索与肥胖与增加结节患病率相关的潜在机制,而不会改变恶性瘤的潜力.

关键词:

甲状腺结节甲状腺结节肥胖症肥胖症肥胖症肥胖症甲状腺超声波扫描甲状腺超声波扫描

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