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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.

DOI:10.1007/s00106-024-01502-2
PMID:39078487
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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International Expert Consensus on US Lexicon for Thyroid Nodules.国际甲状腺结节超声报告临床指南专家共识（美国版）
Radiology. 2023 Oct;309(1):e231481. doi: 10.1148/radiol.231481.
2
Use of lenvatinib in the treatment of radioiodine-refractory differentiated thyroid cancer: a multidisciplinary perspective for daily practice.乐伐替尼在放射性碘难治性分化型甲状腺癌治疗中的应用：日常实践中的多学科视角。
Eur Thyroid J. 2023 Aug 8;12(5):e230068. doi: 10.1530/ETJ-23-0068.
3
Influence of Prior Imaging Information on Diagnostic Accuracy for Focal Skeletal Processes-A Retrospective Analysis of the Consistency between Biopsy-Verified Imaging Diagnoses.
既往影像学信息对局灶性骨骼病变诊断准确性的影响——活检证实的影像学诊断一致性的回顾性分析
Diagnostics (Basel). 2022 Jul 17;12(7):1735. doi: 10.3390/diagnostics12071735.
4
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Diagnostics (Basel). 2022 May 31;12(6):1358. doi: 10.3390/diagnostics12061358.
5
Malignancy rates in thyroid nodules: a long-term cohort study of 17,592 patients.甲状腺结节的恶性率：一项对17592例患者的长期队列研究。
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Eur J Endocrinol. 2021 Aug 4;185(3):431-439. doi: 10.1530/EJE-21-0610.
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[Thyroid nodules: The Guidelines of the American Thyroid Association from a European Perspective].[甲状腺结节：从欧洲视角看美国甲状腺协会指南]
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