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甲状腺炎的细胞学诊断(作者译)

[Cytological diagnosis of thyroiditis (author's transl)].

作者信息

Droese M, Bähre M, Emrich D, Stubbe P, Jentsch E, Breuel H P, Hofmann S

出版信息

Dtsch Med Wochenschr. 1979 Jun 15;104(24):875-8, 881. doi: 10.1055/s-0028-1104006.

Abstract

In 2347 patients fine needle aspiration of the thyroid gland was performed. In 49 cases (2.1%), a final diagnosis of thyroiditis was established. Non-specific granulomatous thyroiditis occurred most frequently (n = 24), followed by lymphocytic hypertrophic thyroiditis Hashimoto (n = 18), focal lymphocytic (n = 5), atrophic lymphocytic (n = 1) and chronic fibrosing thyroiditis (n = 1). Fine needle aspiration biopsy is most suited to diagnose granulomatous thyroiditis. In Hashimoto's thyroiditis cytological investigations are superior to estimation of thyroglobulin antibodies. The cytological method is of little value for the diagnosis of atrophic lymphocytic and chronic fibrosing thyroiditis.

摘要

对2347例患者进行了甲状腺细针穿刺。49例(2.1%)最终诊断为甲状腺炎。非特异性肉芽肿性甲状腺炎最为常见(n = 24),其次是淋巴细胞性增生性桥本甲状腺炎(n = 18)、局灶性淋巴细胞性甲状腺炎(n = 5)、萎缩性淋巴细胞性甲状腺炎(n = 1)和慢性纤维性甲状腺炎(n = 1)。细针穿刺活检最适合诊断肉芽肿性甲状腺炎。在桥本甲状腺炎中,细胞学检查优于甲状腺球蛋白抗体检测。细胞学方法对萎缩性淋巴细胞性和慢性纤维性甲状腺炎的诊断价值不大。

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