3rdSurgery Department, Medical School of Health Sciences, ``AHEPA`` University Hospital, Thessaloniki, Greece.
Department of Respiratory & Critical Care Medicine, Changhai Hospital, The Second Military Medical University, Shanghai, P. R. China.
Expert Rev Med Devices. 2021 Feb;18(2):197-201. doi: 10.1080/17434440.2021.1880891. Epub 2021 Jan 29.
Thyroid cancer is usually diagnosed both with imaging techniques and transdermal biopsy. Laboratory tests are also included in the initial work-up.
One hundred and thirty patients were included in our study with pathological imaging findings in the thyroid region. Biopsies were performed with 22 G with transdermal convex probe, EBUS 22 G Mediglobe® needle and 19 G Olympus® needle. We investigated the efficiency and safety of both techniques and identified the best candidates for each method.
19 G needle identified cancer types such as; Lymphoma, Medullary thyroid cancer, and Hurthle cell cancer, which we know from previous pathology studies that a larger sample is necessary for diagnosis. No safety issues were observed for both techniques and the EBUS technique produced more cell block material when 22 G needle was compared to transdermal biopsy in peritracheal lesions.
The method of biopsy should be made based on the size and accessibility of the lesion.
甲状腺癌通常通过影像学技术和经皮活检进行诊断。实验室检查也包括在初始检查中。
我们的研究纳入了 130 名在甲状腺区域有病理影像学发现的患者。使用 22G 经皮凸探头、EBUS 22G Mediglobe®针和 19G Olympus®针进行活检。我们研究了这两种技术的效率和安全性，并确定了每种方法的最佳候选者。
19G 针可识别癌症类型，如淋巴瘤、甲状腺髓样癌和 Hurthle 细胞癌，我们从之前的病理学研究中知道，对于这些癌症，需要更大的样本量才能进行诊断。两种技术均未出现安全问题，与经皮活检相比，EBUS 技术在气管旁病变中产生了更多的细胞块材料。
活检方法应根据病变的大小和可及性来制定。
