Límanová Z, Dusková J
III. interní klinika 1. LF UK, Praha.
Cesk Pediatr. 1993 May;48(5):265-9.
The authors give an account of their experience with needle biopsy of the thyroid gland and differences in the frequency of different findings in the thyroid gland of adults and children. From the total number of 2260 punctures in adults and 274 punctures in children and adolescents they found in adults most frequently tissue without marked pathological changes (so-called standard finding), in 46%. In children the most frequent finding was lymphocytic thyroiditis, in 44.8%, in adults in 13%. Carcinomas were diagnosed in adults in 7.3% and in 1.8% children (= in 5 children). In four adolescents aged 19-23 years who observed a resistance in the thyroid gland at least from the age of 18 onwards and in a 22-year-old girl who had irradiation therapy on account of a Hodgkin lymphoma at the age of 19 years a thyroid carcinoma was diagnosed. The authors discuss also other less frequent thyroid findings. They draw attention to the diagnostic value of thyroid thin-needle puncture and consider this examination an essential diagnostic procedure in all obscure resistances in the thyroid area not only in adults but also in children.
作者介绍了他们进行甲状腺细针穿刺活检的经验，以及成人和儿童甲状腺不同检查结果出现频率的差异。在成人的2260次穿刺和儿童及青少年的274次穿刺中，他们发现成人中最常见的是无明显病理变化的组织（所谓的标准结果），占46%。儿童中最常见的结果是淋巴细胞性甲状腺炎，占44.8%，成人中占13%。成人中甲状腺癌的诊断率为7.3%，儿童为1.8%（即5名儿童）。在4名年龄在19至23岁的青少年中，至少从18岁起就发现甲状腺有肿块，在一名19岁因霍奇金淋巴瘤接受放射治疗的22岁女孩中，诊断出甲状腺癌。作者还讨论了其他不太常见的甲状腺检查结果。他们提请注意甲状腺细针穿刺的诊断价值，并认为该检查不仅对成人，而且对儿童甲状腺区域所有不明肿块来说，都是一项重要的诊断程序。
