Liu Ruyu, Zhang Bo
Department of Ultrasound,PUMC Hospital,CAMS and PUMC,Beijing 100730,China.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2017 Jun 20;39(3):445-450. doi: 10.3881/j.issn.1000-503X.2017.03.025.
The management of thyroid nodules can be classified into narrow-and broad-sense levels. The broad-sense procedures are used for special population and include screening,risk assessment of thyroid nodules,follow-up of benign thyroid nodules,surgical operation,post-operative follow-up,and assessment and treatment of recurrence and/or metastasis of thyroid cancer. The narrow-sense procedures are for individual patients and the whole process includes the assessment,supervision,treatment,and reassessment of thyroid lesion. Ultrasound plays different roles at different management stages. With the development of ultrasonic technology and improvement of diagnostic accuracy,ultrasound has gradually becoming an irreplaceable imaging tool in the diagnosis of thyroid nodules. In this article we review the history of thyroid ultrasound and the latest international guidelines on the management of thyroid nodules and differentiated thyroid cancer by focusing on the role of ultrasound throughout the management of thyroid nodules.
甲状腺结节的管理可分为狭义和广义两个层面。广义程序适用于特殊人群，包括甲状腺结节的筛查、风险评估、良性甲状腺结节的随访、手术、术后随访以及甲状腺癌复发和/或转移的评估与治疗。狭义程序针对个体患者，全过程包括甲状腺病变的评估、监测、治疗及重新评估。超声在不同管理阶段发挥着不同作用。随着超声技术的发展和诊断准确性的提高，超声已逐渐成为甲状腺结节诊断中不可或缺的成像工具。在本文中，我们回顾甲状腺超声的历史以及关于甲状腺结节和分化型甲状腺癌管理的最新国际指南，重点关注超声在甲状腺结节管理全过程中的作用。
