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[甲状腺结节作为偶然发现:超声检查和闪烁扫描在初步诊断中的价值]

[Thyroid nodules as an incidental finding : Value of sonography and scintigraphy in primary diagnostics].

作者信息

Richter Daniel, Beck Michael, Müller Sarina Katrin, Iro Heinrich, Koch Michael, Sievert Matti

机构信息

Hals-Nasen-Ohrenklinik, Kopf- und Hals-Chirurgie, Universitätskliniken Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Deutschland.

Nuklearmedizinische Klinik, Universitätskliniken Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Deutschland.

出版信息

HNO. 2024 Dec;72(12):908-918. doi: 10.1007/s00106-024-01502-2. Epub 2024 Jul 29.

Abstract

Due to the widespread use of high-resolution sonography, numerous thyroid nodules are diagnosed, often as incidental findings. The challenge lies in evaluating various criteria such as size, shape, and echogenicity to assess the nodules' malignancy risk. Risk stratification systems have been developed to enable systematic assessment as well as to avoid unnecessary medical interventions and malignant findings being overlooked. This article provides an overview of the current diagnostic standards in primary assessment of thyroid nodules.

摘要

由于高分辨率超声的广泛应用,大量甲状腺结节被诊断出来,常常是作为偶然发现。挑战在于评估诸如大小、形状和回声性等各种标准,以评估结节的恶性风险。已经开发了风险分层系统,以便能够进行系统评估,并避免不必要的医疗干预以及恶性发现被忽视。本文概述了甲状腺结节初步评估中的当前诊断标准。

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