超声引导下细针抽吸深部甲状腺结节:结节深度与非诊断结果是否相关?

IF 1.7 Q4 ENDOCRINOLOGY & METABOLISM
Journal of Thyroid Research Pub Date : 2022-08-29 eCollection Date: 2022-01-01 DOI:10.1155/2022/8212636
Majd Asakly, Raed Farhat, Nidal El Khatib, Ashraf Khater, Alaa Safia, Marwan Karam, Saqer Massoud, Taiser Bishara, Yaniv Avraham, Adi Sharabi-Nov, Shlomo Merchavy
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引用次数: 0

摘要

目的评估甲状腺结节深度是否与超声引导下细针穿刺细胞病理学检查的非诊断结果相关:背景:许多因素与超声引导下细针穿刺细胞学检查(FNAC)的非诊断结果相关,包括年龄大、大钙化、结节小、服用阿司匹林以及甲状腺结节中囊性部分超过 50%。然而,很少有研究探讨结节的深度与细胞学检查的非诊断结果(贝塞斯达 I 类)比例之间是否存在关系。我们进行了这项研究,以调查是否存在这种相关性:2019年1月至2020年12月期间,对283个甲状腺结节进行了FNAC检查。对结节的细胞学分析进行了审查,并根据贝塞斯达评分将其分为非诊断性和诊断性。对患者档案和超声波(US)扫描进行审查,以了解结节的临床信息(如年龄、性别和种族)和声像图特征(如深度、大小、囊性部分、钙化类型和回声性),并对非诊断性结节和诊断性结节的结果进行比较。使用本医疗中心的计算机程序计算结节的深度,即在轴向平面上从皮肤到结节最浅边界的最短距离:结果:非诊断组与诊断组在年龄、性别和种族方面无明显差异(P > 0.05)。结节直径、囊性部分、钙化和回声也与非诊断结果的频率无关。结节深度≥9毫米与非诊断性US引导FNA细胞学结果相关(OR=2.55,P=0.018):结论:深甲状腺结节与US引导下FNA细胞学结果的非诊断性相关。为提高甲状腺深部结节 FNA 的疗效,需要进一步研究优化甲状腺深部结节的处理方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Ultrasound-Guided Fine Needle Aspiration of Deep Thyroid Nodule: Is There a Correlation between the Nodule's Depth and Nondiagnostic Results?

Ultrasound-Guided Fine Needle Aspiration of Deep Thyroid Nodule: Is There a Correlation between the Nodule's Depth and Nondiagnostic Results?

Objective: To evaluate whether thyroid nodule depth correlates with nondiagnostic results in ultrasound-guided fine needle aspiration cytopathology.

Background: Many factors correlate with nondiagnostic ultrasound-guided fine needle aspiration cytology (FNAC) results, including older age, macrocalcification, small-sized nodules, aspirin medication, and cystic portion in more than 50% of the thyroid nodules. However, there are few studies which have examined whether there is a relationship between the depth of nodules and the percentage of nondiagnostic results in cytology (Bethesda category I). We conducted this study in order to investigate if such a correlation exists.

Materials and methods: FNAC was performed on 283 thyroid nodules between January 2019 and December 2020. Cytological analyses of the nodules were reviewed and sorted as nondiagnostic and diagnostic according to the Bethesda score. Patient files and ultra sound (US) scans were reviewed for clinical information (such as age, sex, and ethnic group) and sonographic features of nodules (such as depth, size, cystic portion, type of calcification, and echogenicity) and were compared between the nondiagnostic and diagnostic nodule results. The depth of a nodule was calculated as the shortest distance from the skin to the most superficial border of the nodule in the axial plane, using our medical center's computer program, which allows reviewing all saved shots of the US scan.

Results: Age, sex, and ethnicity were not significantly different between the nondiagnostic group and the diagnostic group (p > 0.05). Nodule diameter, cystic portion, calcification, and echogenicity were also not associated with the frequency of nondiagnostic results. The depth of nodules ≥9 mm was correlated with nondiagnostic US-guided FNA cytological results (OR = 2.55, p=0.018).

Conclusions: Deep thyroid nodules correlated with nondiagnostic US-guided FNA cytological results. Further studies are needed for optimizing the approach to deep thyroid nodules in order to improve the efficacy of FNA in deep thyroid nodules.

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来源期刊
Journal of Thyroid Research
Journal of Thyroid Research ENDOCRINOLOGY & METABOLISM-
CiteScore
4.40
自引率
0.00%
发文量
10
审稿时长
17 weeks
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