甲状腺结节诊断方法合理选择及评价

Reasonable evaluation for diagnosis methods of thyroid nodules

甲状腺结节是甲状腺疾病常见的症状和体征。甲状腺结节的诊断需结合病史、体格检查、实验室及辅助检查等综合考虑,并依据学科诊疗指南及临床实践经验进行规范化处理。一旦确定存在甲状腺结节后应对甲状腺功能进行评估,同时结合影像学检查结果对甲状腺结节的良恶性和病因进行初步判定,对可疑为恶性的甲状腺结节可进行细针穿刺细胞学检查或手术活检并根据病理学结果进行相应的处理。

Thyroid nodules are a common kind of thyroid disease, whose standardized diagnosis and treatment should be carried out according the academic guidelines as well as clinical experience, combining the symptom, history, sign, laboratory examination and auxiliary examination. With the discovery of thyroid nodules, thyroid function should be tested, and after imaging examinations, an initial assessment for cause and nature of the nodules could be acquired. Finally, fine needle aspiration or surgical biopsy is required if the nodules are suspicious for thyroid cancer, and then one can stratify the patients to different classifications and give them corresponding treatments.