第二针吸血和重复细胞学检查对同一个甲状腺结节的临床效果
Tzahi Neuman1, Nir Zontag2, Karin Atlan1
1Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel; Department of Pathology, Hadassah Medical Center, Jerusalem, Israel.
American journal of otolaryngology
|October 30, 2025
概括
重复细针吸收 (FNA) 甲状腺结核细化风险分层,特别是在不确定的细胞学. 重归类显著影响恶性瘤的发病率,在临床实践中支持重复FNA.
科学领域:
- 内分泌学 在内分泌学.
- 细胞病理学 细胞病理学
- 在瘤学瘤学.
背景情况:
- 甲状腺结节被归类为贝塞斯达II,III或IV可能需要重复细针吸收 (FNA) 由于不断变化的特征或协议.
- 这项研究调查了重复FNA对贝塞斯达分类和随后恶性瘤率的影响.
研究的目的:
- 确定在重复FNA后贝塞斯达分类变化的频率.
- 评估贝塞斯达类别转移和重新抱负的原因之间的联系.
- 用重新分类的细胞学评估甲状腺结核中的恶性瘤率.
主要方法:
- 用多个FNA进行甲状腺结节的回顾性分析 (2018-2024年).
- 包括最初被归类为贝塞斯达II,III或IV的结节.
- 在初始和重复的愿望之间比较细胞学结果.
主要成果:
- 在111个符合条件的节点中,重复FNA导致了显著的贝塞斯达类别转移.
- 40.4%的初始贝塞斯达II结节得到了升级;13.6%-21.6%的贝塞斯达III/IV得到了升级.
- 随着细胞学升级,恶性瘤的发生率增加了:55.6%-100%对于贝塞斯达III-VI升级.
结论:
- 重复FNA有效地完善了甲状腺结节的风险分层,其细胞系不确定.
- 临床评估和超声波变化是重复吸收的关键指标.
- 在特定的临床场景中,重复吸收显示出高的诊断效用.
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