Puas Puncture Biopsy Tom Qab Thermal Ablation cuam tshuam qhov tseeb ntawm Pathological Diagnosis ntawm Thyroid Nodules

Tab sis tib lub sijhawm, biopsy kuj yog ib hom kev raug mob rau lub cev, thiab tej zaum yuav muaj kev puas tsuaj, yog li cas rau qhov zoo ntawm koob aspiration biopsy? Ntawm no kuv yuav qhia: kev tswj xyuas cov thyroid nodules yuav tsum tau ua raws li ultrasound thiab FNA biopsy cov txiaj ntsig. Cov lus qhia tshiab hais tias cov thyroid ultrasound yuav tsum tau ua thaum cov neeg mob muaj kev pheej hmoo rau cov thyroid malignancy, muaj palpable nodules, multinodular goiter, los yog lymphadenopathy uas xav tias malignant lesions. Raws li cov txiaj ntsig ntawm kev ntsuam xyuas, qhov tsim nyog ntawm ultrasound-guided fine koob aspiration biopsy tau txiav txim siab. Thaum kuaj ultrasound, FNA biopsy raug pom zoo rau cov nodules uas ua tau raws li cov hauv qab no: ① khoom hypoechoic nodules ntau dua 10 hli inch. ② Thyroid nodule ntawm txhua qhov me me xav tias muaj kev loj hlob ntawm extracapsular lossis lub ncauj tsev menyuam qog nqaij hlav metastasis ntawm ultrasound. (3) Cov menyuam yaus lossis cov tub ntxhais hluas uas muaj keeb kwm raug hluav taws xob hauv tsev menyuam; Thawj-degree cov txheeb ze ntawm cov neeg mob uas muaj papillary thyroid carcinoma (PTC), medullary thyroid carcinoma (MTC), los yog ntau yam endocrine adenomatosis type 2 (MEN2); Cov neeg mob uas muaj keeb kwm ntawm kev phais mob qog noj ntshav; Cov neeg mob uas cov qib calcitonin tau nce siab thaum tsis muaj qhov cuam tshuam. ④ Txawm hais tias txoj kab uas hla tsawg dua 10 hli, ultrasonography nthuav tawm cov nodule nrog cov cim cuam tshuam nrog cov kab mob malignant (hypoechoic thiab / los yog ciam teb tsis sib xws, elongated zoo, microcalcification, lossis cuam tshuam ntawm cov ntshav ntws hauv lub nodule). Rau cov kab mob goiter multinodular : ① Thaum cov nodules ua raws li cov tsos mob saum toj no ntawm kev kuaj ultrasound, tus naj npawb ntawm cov nodules xav tau FNA biopsy tsis tshua xav tau ntau dua 2; ② Thaum cov isotope scan pom "kub" nodules, FNA biopsy tsis tuaj yeem ua; ③ Yog tias muaj qhov tsis txaus ntseeg lymphadenopathy, FNA biopsy yuav tsum tau ua ntawm cov qog nqaij hlav o thiab cov qog tsis txaus ntseeg ib txhij. Rau kev sib xyaw (cystic solid) thyroid nodules: ① UGFNA biopsy tau ua rau ntawm cov khoom ntawm cov thyroid nodules; ② Cytological kuaj ntawm FNA biopsy kuaj thiab kuaj cov kua dej aspirated tau ua ib txhij. Rau cov qog nqaij hlav tsis sib xws: ① kev kho mob yuav tsum ua raws li cov txheej txheem kuaj mob ntawm cov thyroid nodules; ② Rau cov qog tsis npaj txhij pom los ntawm CT lossis magnetic resonance imaging (MRI), ultrasound yuav tsum tau ua ua ntej UGFNA. ③ Rau cov qog tsis npaj txhij kuaj pom los ntawm 18F-fluorodeoxyglucose positron emission tomography (PET), ultrasound thiab UGFNA yuav tsum tau ua tib lub sijhawm vim tias muaj kev pheej hmoo siab ntawm malignancy. Cov saum toj no tsis tsuas yog qhia txog qhov xav tau ntawm kev kuaj ntshav biopsy, tab sis kuj qhia rau peb paub qee qhov kev xav tau rau cov thyroid nodule kab mob biopsy. Tsuas yog nyob rau hauv txoj kev no peb tuaj yeem ua tiav lub hom phiaj ntawm biopsy thiab ua tiav qhov tseeb ntawm kev kuaj mob.

Yog tias koj muaj lus nug, thov hu rau peb. Peb lub tuam txhab tuaj yeem tsim ntau yam koob txhaj tshuaj, koob tshuaj kho mob, koob txhaj tshuaj, koob tshuaj hypodermic, koob txhaj tshuaj, koob tshuaj tiv thaiv kab mob, koob txhaj tshuaj, koob txhaj tshuaj, koob txhaj tshuaj, koob xaum koob, koob ovum khaws koob, koob txhaj tshuaj, thiab lwm yam Yog tias koj xav tau kev kho koob cov khoom, thov hu rau peb. Peb tos ntsoov rau koj qhov kev nug! Qhov zoo ntawm cov khoom tsim nyob rau hauv peb lub Hoobkas yuav txaus siab rau koj!

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