具有乳头状核特征的非侵袭性甲状腺滤泡性肿瘤的临床和超声特征:回顾性研究。

IF 0.7 4区 医学 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Xiaofeng Ni, Shangyan Xu, Benyan Zhang, Weiwei Zhan, Wei Zhou
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引用次数: 1

摘要

摘要:本研究旨在探讨具有乳头状核样特征的非侵袭性甲状腺滤泡性肿瘤(NIFTPs)与经典甲状腺乳头状癌(cPTC)、滤泡性腺瘤(FA)和滤泡性甲状腺癌(FTC)的临床和超声特征。共有178名患者参加了这项研究。比较NIFTP与cPTC或FA/FTC对甲状腺结节的临床特征和超声特征。所有结节根据甲状腺超声成像报告和数据系统和美国甲状腺协会指南分类重新分类。NIFTP的平均尺寸为29.91±14.71 mm,明显大于cPTC (P = 0.000)。NIFTP与cPTC在淋巴结转移方面存在显著差异(P = 0.000)。大多数NIFTPs组成坚实,低回声回声,边缘光滑,比高形状更宽,无回声灶,无晕,结节周围血管,与FA和FTC相似。与NIFTP相比,cPTC多见低回声和极低回声,高而宽,边缘不规则,点状回声灶,无晕,低血管。NIFTP与cPTC在美国放射学会甲状腺超声成像报告与数据系统及美国甲状腺协会分类上的差异均有统计学意义(P < 0.05),而与FTC/FA的差异无统计学意义(P > 0.05)。NIFTP的超声特征与cPTC有明显差异,但与FTC和FA有重叠。超声有助于在适当的临床环境下提高对NIFTP的术前关注,这可能导致更保守的治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Clinical and Sonographic Features of Noninvasive Follicular Thyroid Neoplasm With Papillary-Like Nuclear Features: A Retrospective Study.

Clinical and Sonographic Features of Noninvasive Follicular Thyroid Neoplasm With Papillary-Like Nuclear Features: A Retrospective Study.

Clinical and Sonographic Features of Noninvasive Follicular Thyroid Neoplasm With Papillary-Like Nuclear Features: A Retrospective Study.

Clinical and Sonographic Features of Noninvasive Follicular Thyroid Neoplasm With Papillary-Like Nuclear Features: A Retrospective Study.

Abstract: This study was designed to investigate the clinical and sonographic features of noninvasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTPs) as compared with classical papillary thyroid carcinoma (cPTC), follicular adenoma (FA), and follicular thyroid carcinoma (FTC). A total of 178 patients were enrolled in this study. The clinical characteristics and sonographic features of thyroid nodules were compared between NIFTP and cPTC or FA/FTC. All nodules were reclassified according to the Thyroid Ultrasound Imaging Reporting and Data System and American Thyroid Association guidelines classification. The mean size of NIFTP was 29.91 ± 14.71 mm, which was larger than that of cPTC ( P = 0.000). Significant difference was found in lymph node metastases between NIFTP and cPTC ( P = 0.000). Most NIFTPs showed solid composition, hypoechoic echogenicity, smooth margin, wider than tall shape, none echogenic foci, absence of halo, and perinodular vascularity, which were similar with FA and FTC. Compared with NIFTP, hypoechoic and very hypoechoic, taller than wide, irregular margin, punctate echogenic foci, absence of halo, and low vascularity were more commonly observed in cPTC. There were statistical differences both in American College of Radiology Thyroid Ultrasound Imaging Reporting and Data System and in American Thyroid Association classification between NIFTP and cPTC ( P < 0.05), but there were no significant differences between NIFTP and FTC/FA ( P > 0.05). The ultrasonographic characteristics of NIFTP were obviously different from cPTC but overlapped with FTC and FA. Ultrasound could help increase preoperative attention of NIFTP in an appropriate clinical setting, which may lead to a more conservative treatment approach.

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来源期刊
Ultrasound Quarterly
Ultrasound Quarterly RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
2.50
自引率
7.70%
发文量
105
审稿时长
>12 weeks
期刊介绍: Ultrasound Quarterly provides coverage of the newest, most sophisticated ultrasound techniques as well as in-depth analysis of important developments in this dynamic field. The journal publishes reviews of a wide variety of topics including trans-vaginal ultrasonography, detection of fetal anomalies, color Doppler flow imaging, pediatric ultrasonography, and breast sonography. Official Journal of the Society of Radiologists in Ultrasound
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