2015年美国甲状腺学会《成人甲状腺结节与分化型甲状腺癌诊治指南》解读:超声部分被引量：217

The interpretation of 2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer:Ultrasound part

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摘要 2015年美国甲状腺学会(American Thyroid Association,ATA)《成人甲状腺结节与分化型甲状腺癌诊治指南》(简称《2015版指南》)的超声部分内容非常详尽,包括甲状腺超声检查的适应证和评估内容、结节的恶性风险评估、选择诊断治疗方案的超声依据、超声在良性结节随访中的作用以及超声在监测疗效、评估复发转移癌中的作用。与2009年的版本相比,文献证据明显增多,尤其在结节评估方面有了重大进展。其中最为显著的是综合分析了多项甲状腺超声特征,提出了恶性风险分层的概念,并且对有关概念的定义进行了详尽的阐述,为细针抽吸活检(fine needle aspiration,FNA)指征的把握提供了最新的指南依据。总之,《2015版指南》更加明确了超声在甲状腺结节和分化型甲状腺癌的全程诊治管理中的作用,充分理解指南,并加以合理运用,有利于规范甲状腺超声检查的流程和提高诊断水平。 The ultrasound part of ＂2015 American Thyroid Association Management Guidelines for AdultPatients with Thyroid Nodules and Differentiated Thyroid Cancer＂ is comprehensive and informative. The content includes the indications for thyroid ultrasound and aspects needed to be evaluated, malignancy risk prediction based on sonographic pattern, decision-making based on ultrasound appearances, follow-up of benign thyroid nodules and surveillance of persistent and recurrent thyroid cancer with ultrasound. Compared with 2009 version of American Thyroid Association （ATA） guidelines, there is a great deal of development. The most important revision was that it analyzed ultrasound pattern of risk stratification of malignancy in thyroid nodules and gave a detailed description of relevant concepts and definitions. Altogether, the new guidelines provided an algorithm for evaluation and management of patients with thyroid nodules based on sonographic pattern and fine needle aspiration （FNA） cytology. Comprehensive review of the guidelines and appropriate adjustment in practices will make ultrasound examination more reasonable and may enhance the level of medical practices basically..

作者张波徐景竹吴琼

机构地区中国医学科学院北京协和医院超声医学科中国医学科学院北京协和医院基本外科

出处《中国癌症杂志》 CAS CSCD 北大核心 2016年第1期19-24,共6页 China Oncology

基金国家自然科学基金(81541131) 国家国际科技合作专项项目(2015DFA30440)

关键词分化型甲状腺癌美国甲状腺学会指南超声 Differentiated thyroid carcinoma American Thyroid Association Guidelines Ultrasound

分类号 R736.1 [医药卫生—肿瘤]

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