Kada je neophodna -aspiracija štitne žlijezde finom iglom?
Feb 14, 2022
1. All thyroid nodules with a diameter of Greater than or equal to 1 cm can be considered for FNAB examination, but FNAB is not routinely used in the following cases: ① It is confirmed as a "hot nodule" with autonomous uptake function by thyroid radionuclide imaging. ② Ultrasound showed pure cystic nodules. ③ Nodules that are highly suspected to be malignant according to ultrasound images.
2. Za čvorove na štitnoj žlijezdi<1cm in="" diameter,="" routine="" fnab="" is="" not="" recommended.="" however,="" fnab="" can="" be="" considered="" if="" there="" are="" any="" of="" the="" following="" conditions:="" (1)="" nodules="" with="" malignant="" signs="" on="" ultrasound;="" (2)="" abnormal="" ultrasound="" images="" of="" cervical="" lymph="" nodes;="" (3)="" a="" history="" of="" cervical="" radiation="" exposure="" or="" exposure="" to="" radiation="" contamination="" in="" childhood;="" (4)="" thyroid="" cancer="" or="" thyroid="" cancer="" medical="" history="" or="" family="" history="" of="" cancer="" syndrome;="" ⑤="" 18f-fdg="" pet="" imaging="" was="" positive;="" ⑥="" with="" abnormally="" elevated="" serum="" ct="">
3. "Obviously growing" nodules with the adaptation sign of FNAB. "Significant growth" is defined as a nodule with an increase of more than 50 percent in volume or an increase of more than 20 percent (and more than 2 mm) in at least 2 diameters, and for cystic-solid nodules, based on the growth of the solid part. (Correspondent Guodong)
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