甲状腺结节
医学
恶性肿瘤
放射科
甲状腺癌
活检
金标准(测试)
甲状腺
细针穿刺
弹性成像
普通外科
病理
超声波
内科学
作者
Teresita Antonia,Lambrescu Ioana Maria,Gheorghisan-Galateanu Ancuta-Augustina
标识
DOI:10.1016/j.prp.2023.154516
摘要
Thyroid cancer is the most common endocrine malignancy, with increasing incidence over the past few decades. Fine needle aspiration (FNA) biopsy is the gold standard for preoperative diagnosis of thyroid malignancies. Nevertheless, this method renders indeterminate results in up to 30% of the cases. Therefore, these patients are often referred to unnecessary surgery to establish the diagnosis. To improve the accuracy of preoperative diagnosis, several other ways, such as ultrasonography, elastography, immunohistochemical analysis, genetic testing, and core needle biopsy, have been developed and can be used either in association with or as an alternative to FNA. This review aims to evaluate all these diagnostic tools to determine the most appropriate way of managing thyroid nodules and subsequently improve the selection of cases referred to surgery.
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