Department of Doctoral Studies, "Victor Babeș" University of Medicine and Pharmacy Timișoara, Eftimie Murgu Sq. no. 2, 300041 Timișoara, Romania.
Endocrinology Clinic, "Pius Brînzeu" Emergency Clinical Hospital Timișoara, Liviu Rebreanu Boulevard no. 156, 300723 Timișoara, Romania.
Medicina (Kaunas). 2023 Aug 18;59(8):1488. doi: 10.3390/medicina59081488.
Thyroid nodules are a common finding in clinical practice and can be either benign or malignant. The aim of this study was to compare laboratory parameters between patients with malignant thyroid nodules and those with benign thyroid nodules. A total of 845 patients were included, with 251 in the study group (malignant thyroid nodules) and 594 in the control group (benign thyroid nodules). Our results show that there were statistically significant differences in several laboratory parameters, including FT3, FT4, ESR, fibrinogen, WBC, and lymphocyte percentage, between the two patient groups ( < 0.05). These findings suggest that certain laboratory parameters may be useful in differentiating between benign and malignant thyroid nodules and could aid in the diagnosis and treatment of thyroid cancer. However, further diagnostic tests such as fine-needle aspiration biopsy and imaging studies are typically required for an accurate diagnosis. Routine laboratory tests prove most effective when combined with other diagnostic methods to identify thyroid cancer. Although not conclusive on their own, these tests significantly suggest and guide physicians to suspect malignancy in thyroid nodules. This affirmative answer to our question, "Can routine laboratory tests be suggestive in determining suspicions of malignancy in the case of thyroid nodules?" aligns with the results of our study.
甲状腺结节在临床实践中很常见,可分为良性或恶性。本研究旨在比较恶性甲状腺结节和良性甲状腺结节患者的实验室参数。共纳入 845 例患者,其中研究组 251 例(恶性甲状腺结节),对照组 594 例(良性甲状腺结节)。我们的结果表明,两组患者的几项实验室参数存在统计学差异,包括 FT3、FT4、ESR、纤维蛋白原、白细胞和淋巴细胞百分比(<0.05)。这些发现表明,某些实验室参数可能有助于鉴别良性和恶性甲状腺结节,并有助于甲状腺癌的诊断和治疗。然而,通常需要细针抽吸活检和影像学检查等进一步的诊断测试以获得准确的诊断。常规实验室检查与其他诊断方法相结合时最有效,以识别甲状腺癌。虽然这些检查本身不能得出结论,但它们显著提示并指导医生怀疑甲状腺结节的恶性。我们的问题是“常规实验室检查在怀疑甲状腺结节恶性时是否有提示作用?”,这个肯定的答案与我们的研究结果一致。