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超声特征、碱性成纤维细胞生长因子与甲状腺乳头状癌局部侵袭性之间的相关性。

The correlation between ultrasonographic features, bFGF, and the local invasiveness of thyroid papillary carcinoma.

作者信息

Jia Zhi-Ying, Wu Xiu-Lan, Zhang Yin-Hua, Ma Bin-Lin, Ma Fu-Cheng

机构信息

Department of Ultrasound.

Department of Pathology.

出版信息

Medicine (Baltimore). 2020 Jun 26;99(26):e20644. doi: 10.1097/MD.0000000000020644.

Abstract

The present study aimed to investigate the correlation between ultrasonographic features, basic fibroblast growth factor (bFGF), and the local invasiveness of papillary thyroid carcinoma (PTC).A total of 350 samples of thyroid nodules were collected. Routine ultrasonography was performed before the operation and routine pathological diagnosis and bFGF detection were performed after the operation.'These 350 samples of thyroid nodules included 90 samples of nodular goiter, 36 samples of focal thyroiditis, and 224 samples of PTC. A total of 326 thyroid nodules were examined for bFGF. The results revealed that the difference in the expression of bFGF between the benign and malignant groups was statistically significant (P < .05) and the difference in the positive expression of bFGF between the invasive and non-invasive PTC groups was statistically significant (P < .05).Whether the shape of PTC is regular or not and whether there is micro-calcification in PTC and other ultrasonographic features, the size and location of the lesions and the age of the patient help make a preliminary prediction of local invasiveness before the operation. Postoperative detection of bFGF is helpful for further risk assessments of PTC.

摘要

本研究旨在探讨超声特征、碱性成纤维细胞生长因子(bFGF)与甲状腺乳头状癌(PTC)局部侵袭性之间的相关性。共收集350份甲状腺结节样本。术前进行常规超声检查,术后进行常规病理诊断和bFGF检测。这350份甲状腺结节样本包括90份结节性甲状腺肿样本、36份局灶性甲状腺炎样本和224份PTC样本。共对326个甲状腺结节进行了bFGF检测。结果显示,良性组与恶性组bFGF表达差异具有统计学意义(P<0.05),侵袭性PTC组与非侵袭性PTC组bFGF阳性表达差异具有统计学意义(P<0.05)。PTC的形状是否规则、PTC中是否存在微钙化等超声特征、病变的大小和位置以及患者的年龄有助于在术前对局部侵袭性做出初步预测。术后检测bFGF有助于对PTC进行进一步的风险评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e9c/7328907/978708a2e78c/medi-99-e20644-g004.jpg

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