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Qhov luaj li cas ntawm cov thyroid nodule yuav tsum tau biopsied?

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Qhov luaj li cas ntawm cov thyroid nodule yuav tsum tau biopsied?
Qhov luaj li cas ntawm cov thyroid nodule yuav tsum tau biopsied?

Video: Qhov luaj li cas ntawm cov thyroid nodule yuav tsum tau biopsied?

Video: Qhov luaj li cas ntawm cov thyroid nodule yuav tsum tau biopsied?
Video: khwv nyiaj tsis nce tes yog vim li cas 2024, Tej zaum
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Raws li Society of Radiologists nyob rau hauv Ultrasound, biopsy yuav tsum tau ua nyob rau hauv lub nodule 1 cm nyob rau hauv txoj kab uas hla los yog loj dua nrog microcalcifications, 1.5 cm nyob rau hauv txoj kab uas hla los yog loj dua uas yog khov los yog loj dua. muaj ntxhib calcifications, thiab 2 cm nyob rau hauv txoj kab uas hla los yog loj dua uas muaj sib tov khoom thiab cystic Cheebtsam, thiab ib tug nodule uas muaj …

Puas yog qhov loj ntawm cov thyroid nodule qhia tias mob qog noj ntshav?

Nyob rau hauv kev ntsuam xyuas ntawm cov thyroid nodules rau malignancy, lub qhov loj ntawm cov nodule tau ua rau muaj kev txhawj xeeb, feem ntau vim tias qhov loj me-yog tias nws yog mob qog noj ntshav- ncaj qha cuam tshuam rau lub cev. theem. Tsis tas li ntawd, cov nodules loj nyob rau hauv lwm yam kabmob, xws li cov qog adrenal, feem ntau yuav ua rau malignant.

Yuav ua li cas cov thyroid nodule yog qhov tsis txaus ntseeg?

Nodules nrog cov ntsiab lus ntawm 3 lub ntsiab lus txhais tau tias yog TR3 lossis "mob tsis txaus ntseeg" - cov lus qhia pom zoo kom siv rab koob zoo ntawm cov nodule hauv nqe lus nug yog 2.5cm loj lossis ntau dua, nrog kev soj ntsuam thiab tom qab ultrasounds pom zoo yog tias cov nodules loj dua 1.5cm.

Qhov nruab nrab ntawm qhov qog nqaij hlav qog noj ntshav yog dab tsi?

Thaum kev tshuaj xyuas ntawm qhov loj me tau muab piv nrog rau hom thiab kev faib tawm ntawm cov thyroid malignancy, pom muaj kev sib raug zoo tseem ceeb. Feem ntau ntawm cov mob qog noj ntshav, muaj qhov loj me ntawm 1.0-1.9 cm, tau kuaj pom tias yog papillary carcinoma, thiab 61.9% ntawm cov qog nqaij hlav cancer ≥4 cm yog follicular carcinomas.

Cov thyroid nodule loj npaum li cas rau FNA?

Raws li kev hloov kho American Thyroid Association (ATA) cov lus qhia, FNA tau pom zoo hauv cov thyroid nodules loj dua 5 mm nrog rau US cov yam ntxwv tseem ceeb hauv cov neeg mob uas muaj kev pheej hmoo siab. Cov lus qhia no tsis pom zoo rau FNA hauv cov thyroid nodules me dua 5 hli.

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