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具有乳头状核特征的非侵袭性滤泡性甲状腺肿瘤:外科医生应了解的内容。

Noninvasive Follicular Thyroid Neoplasm With Papillary-Like Nuclear Features: What a Surgeon Should Know.

作者信息

Alharbi Jabir, Alraddadi Thamer, Sebeih Haneen, Alessa Mohammad A, Alkaf Haddad H, Bahaj Ahmed, Abdelmonim Sherif K

机构信息

Head, Neck and Skull Base Center, King Abdullah Medical City, Makkah, SAU.

Otorhinolaryngology - Head & Neck, Prince Mohammad Bin Abdulaziz Hospital Ministry of National Guard, Madinah, SAU.

出版信息

Cureus. 2023 Jan 11;15(1):e33649. doi: 10.7759/cureus.33649. eCollection 2023 Jan.

Abstract

The inclusion of the less aggressive follicular form of papillary thyroid cancer (PTC) is associated with an increase in the incidence of the condition, with the follicular variant of PTC being the most common of all variants. The majority of individuals with the encapsulated follicular variant of papillary thyroid carcinoma (EFVPTC) are treated as though they have classic thyroid cancer, despite the availability of mounting evidence to contradict the aforementioned. According to numerous research, a certain type of noninvasive-EFVPTC (NI-EFVPTC) demonstrated poor histopathologic diagnostic reproducibility and has received aggressive treatment similar to that of a classical thyroid neoplasm. Therefore, to replace the term NI-EFVPC, a new nomenclature for these tumors, called "noninvasive follicular thyroid neoplasm with papillary-like nuclear characteristics" (NIFTP), was introduced in the year 2016. The present paper explores this recently introduced terminology, clinical, histologic, and molecular features, and diagnostic criteria.

摘要

侵袭性较低的滤泡型甲状腺乳头状癌(PTC)被纳入其中与该疾病发病率的增加有关,PTC的滤泡变体是所有变体中最常见的。大多数患有包膜型甲状腺乳头状癌滤泡变体(EFVPTC)的个体尽管有越来越多的证据与之矛盾,但仍被当作患有经典甲状腺癌来治疗。根据大量研究,某一类型的非侵袭性EFVPTC(NI-EFVPTC)显示出较差的组织病理学诊断可重复性,并接受了与经典甲状腺肿瘤相似的积极治疗。因此,为了取代NI-EFVPC这一术语,2016年引入了一种针对这些肿瘤的新命名法,即“具有乳头状核特征的非侵袭性滤泡性甲状腺肿瘤”(NIFTP)。本文探讨了这一最近引入的术语、临床、组织学和分子特征以及诊断标准。

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