甲状腺细胞病理学的实际和具有挑战性的问题
Qianqian Zhang1, Belen Padial Urtueta1, Elisabetta Merenda1
1Division of Anatomic Pathology and Histology-Fondazione Policlinico Universitario "Agostino Gemelli"-IRCCS, Rome, Italy.
Human pathology
|December 18, 2025
概括
甲状腺结节很常见,不确定的病变带来了诊断挑战. 本综述解决了细针吸收细胞学 (FNAC) 和贝塞斯达甲状腺细胞病理报告系统 (TBSRTC) 的陷,以提高准确性.
科学领域:
- 内分泌学和病理学.
- 诊断细胞病理学诊断细胞病理学
背景情况:
- 甲状腺病变很普遍,特别是在成年人中,很大一部分是良性的.
- 越来越复杂的超声波检测到更小的结节,包括可疑的.
- 不确定的甲状腺病变约占20%,存在诊断挑战和潜在的陷.
研究的目的:
- 审查甲状腺细针吸收细胞学 (FNAC) 的实际问题和形态挑战.
- 讨论在甲状腺结节评估中导致假阳性和假阴性结果的诊断陷.
- 检查贝塞斯达甲状腺细胞病理报告系统 (TBSRTC) 在管理不确定的病变中的应用.
主要方法:
- 关于甲状腺FNAC和TBSRTC的文献综述.
- 由于形态特征重叠而导致的诊断陷的分析.
- 对不确定的病变 (AUS,FN,SFM) 的TBSRTC分类的讨论.
主要成果:
- 精细针吸入细胞学 (FNAC) 是甲状腺结节的主要诊断工具,具有高预测价值.
- 贝塞斯达甲状腺细胞病理报告系统 (TBSRTC) 有助于对病变进行分类和指导管理.
- 在FNAC的诊断错误可能来自重叠的细胞和背景形态.
结论:
- 准确的甲状腺结节诊断至关重要,尽管FNAC的准确性很高.
- 形态挑战和TBSRTC的应用需要仔细考虑,以尽量减少诊断错误.
- 解决甲状腺FNAC评估中的陷可以改善患者管理和结果.
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