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不同临床指南中甲状腺结节细针穿刺活检应用建议比较 被引量：8

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摘要 甲状腺结节在人群中较普遍,超声检出率高达67%[1]。对甲状腺结节初始诊断和评估时,甲状腺细针穿刺抽吸活组织检查（fine needle aspiration biopsy,FNAB）被推荐应用[2-5],其优点是操作简单、可靠、快速、微创并且费用低,有不少临床研究表明FNAB的诊断敏感度达89%~98%,特异度可达92%[6-8]。目前FNAB被认为是甲状腺结节初步诊断的金标准[9]。
作者 张宏 钱林学
机构地区 首都医科大学附属北京友谊医院超声科
出处 《中华医学超声杂志（电子版）》 CSCD 2015年第10期743-747,共5页 Chinese Journal of Medical Ultrasound(Electronic Edition)
关键词 甲状腺结节 临床指南 超声检查 甲状腺细针穿刺 超声征象 活组织检查 细针穿刺活检 低回声 微钙化 囊实性结节
分类号 R581 [医药卫生—内分泌] R445.1 [医药卫生—影像医学与核医学]
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参考文献38

  • 1Singh Ospina N, Sebo T J, Morris JC, et al. The value of repeat thyroid fine-needle aspiration biopsy in patients with a previously benign result: how often does it alter management? [J]. Thyroid, 2015. [Epub ahead of print].
  • 2Iqbal M, Mehmood Z, Rasul S, et al. Carcinoma thyroid in multi and uninodular goiter [J]. J Coil Physicians Surg Pak, 2010, 20(5): 310-312.
  • 3Pinchot SN, A1-Wagih H, Schaefer S, et al. Accuracy of fine-needle aspiration biopsy for predicting neoplasm or carcinoma in thyroid nodules 4 cm or larger [J]. Arch Surg, 2009, 144(7): 649-655.
  • 4Tee YY, Lowe AJ, Brand CA, et al. Fine-needle aspiration may miss a third of all malignancy in palpable thyroid nodules: a comprehensive literature review [J]. Ann Surg, 2007, 246(5): 714-720.
  • 5Carmeci C, Jeffrey RB, McDougall IR, et al. Ultrasound- guided fine-needle aspiration biopsy of thyroid masses [J]. Thyroid, 1998, 8(4): 283-289.
  • 6McCoy KL, Jabbour N, Ogilvie JB, et al. The incidence of cancer and rate of false-negative cytology in thyroid nodules greater than or equal to 4 cm in size [J]. Surgery, 2007, 142(6): 837-844.
  • 7Bhatki AM, Brewer B, Robinson-Smith T, et al. Adequacy of surgeon performed ultrasound-guided thyroid fine-needle aspiration biopsy [J]. Otolaryngol Head Neck Surg, 2008, 139(1): 27-31.
  • 8Greenblatt DY, Woltman T, Harter J, et al. Fine-needle aspiration optimizes surgical management in patients with thyroid cancer [J]. Ann Surg Oncol, 2006, 13(6): 859-863.
  • 9Sharma C. Diagnostic accuracy of fine needle aspiration cytology of thyroid and evaluation of discordant cases [J]. J Egypt Natl Canc Inst, 2015, 27(3): 147-153.
  • 10Cooper DS, Doherty GM, Haugen BR, et al. American Thyroid Association GuidelinesTaskforce. Management guidelines for patients with thyroid nodules and differentiated thyroid cancer [J]. Thyroid, 2006, 16(2): 109-142.

二级参考文献5

共引文献528

同被引文献69

  • 1McQueen AS, Bhatia KS. Thyroid nodule ultrasound: techniea advances and future horizons[J]. Insights Imaging, 2015,6 (2) 173-188.
  • 2Seo H, Na DG, Kim JH, et al. Ultrasound-based risk stratification for malignancy in thyroid nodules: a four tier categorization system [J]. Eur Radiol, 2015,25 ( 7 ) : 2153-2162.
  • 3Lim DJ, Kim JY,Baek KH, et al. Natural course of cytologically benign thyroid nodules: observation of ultrasonographie changes [J]. Endocrinol Melab(Seoul), 2013,28 (2) : 110-118.
  • 4Kim SY, Han KH, Moon HJ,et al, Thyroid nodules with benign findings at cytologic examination:results of long-term follow-up with US[J].Radiology, 2/114,271 ( 1 ) :272 281.
  • 5陈杰,李甘地.病理学[M].第2版.北京:人民卫生出版社,2012:119—120.
  • 6Ajjan RA, Weetman AP. The Pathogenesis of Hashimoto' s thyroiditis: further developments in our understanding[J].Horm Metab Res, 2015, 47 (10): 702-710.
  • 7Kim SS, Kim MR, Mok JY,et al. Benign cystic nodules may have ultrasonographic features mimicking papillary thyroid carcinoma during interval changes[J]. Endocr J, 2011,58 (8) : 633-638.
  • 8Pyo JS, Kang G, Kim DH, et al. The prognostic relevance of psammoma bodies and uhrasonographic int ratumoral calcifications in papillary thyroid carcinoma [J].World J Surg, 2013,37(10) :23311-2335.
  • 9Triggiani V, Guastamacchia E, Licchelli B, el al. Microcalcifications and psammoma bodies in thyroid tumors[J]. Thyroid, 20118, 18 (9): 1017-1018.
  • 10Cappelli C, Castellano M, Pirola I, el al. Thyroid nodule shape suggests malignancy[J]. Eur J Endocrinol,2006, 155(1) :27-31.

引证文献8

二级引证文献29

中华医学超声杂志（电子版）
2015年 第10期

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