摘要
目的探讨甲状腺超声引导下细针穿刺活检(US-FNA)分析甲状腺乳头状癌恶性特征的研究。方法选取2018年8月至2019年1月间中国中医科学院广安门医院收治的接受US-FNA检查的50例甲状腺患者,共65个TI-RADS4类甲状腺结节。采用甲状腺超声引导下细针穿刺活检分析甲状腺乳头状癌的特征。结果恶性甲状腺乳头状癌15例,可疑恶性2例,收集病例中女性患甲状腺结节占72%,明确甲状腺乳头状癌(PTC)者占76.5%。讨论年龄<50岁高风险甲状腺结节恶性可能更大,慢性淋巴细胞性甲状腺炎对恶性结节具有一定影响,1.5cm以下TI-RADS分级4类的结节恶性可能更高。
Objective To investigate the characteristics of malignant papillary thyroid cancer using ultrasound-guided fine needle aspiration( US-FNA) biopsy. Methods Fifty patients involving 65 thyroid nodules classified as TI-RADS4 who underwent US-FNA biopsy at Beijing Guang’anmen Hospital between August 2018 and January 2019 were selected. According to the results of US-FNA test,the characteristics of malignant papillary thyroid cancer were analyzed. Results Malignant papillary thyroid cancer was discovered in 15 patiens and suspected malignant papillary thyroid cancer was discoved in 2 pateints. 72% female patients were discoved to have thyroid nodules and 76. 5% were observed to have papillary thyroid carcinoma( PTC). Conclusion Age is associated with PTC. Patients at age less than 50 may have high risk for thyroid nodules. Malignant thyroid nodules were influenced by chronic lymphocytic thyroiditis. The mojerity nodules were less than 1. 5 cm in diameter with the class of TI-RADS4.
作者
张玉人
倪青
杨丽
ZHANG Yu-ren;NI Qing;YANG Li(Department of Endocrine Diseases,Beijing Guang'anmen Hospital,Beijng 100010,China)
出处
《中国肿瘤临床与康复》
2021年第1期6-8,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
细针穿刺
甲状腺结节
甲状腺乳头状肿瘤
桥本氏病
Fine needle aspiration biopsy
Thyroid nodules
Papillary thyroid neoplasms
Hashimoto’s disease