淋巴细胞性甲状腺炎细针穿刺细胞学检查与甲状腺功能检查的相关性。

IF 1.7 Q4 ENDOCRINOLOGY & METABOLISM Journal of Thyroid Research Pub Date : 2014-01-01 Epub Date: 2014-04-06 DOI:10.1155/2014/430510
Neelam Sood, Jitendra Singh Nigam
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引用次数: 33

摘要

背景。慢性淋巴细胞性甲状腺炎是FNAC诊断的第二大常见甲状腺病变,仅次于甲状腺肿。FNAC是诊断甲状腺病变的可靠工具。目标。目的探讨淋巴细胞性甲状腺炎FNAC细胞学表现与TFT的相关性。方法:2011-2013年,175例甲状腺肿大患者行FNAC和TFT检查。采用非抽吸或抽吸技术进行细针抽吸细胞学检查,在Beckman culter通路2上进行TFT检查。结果。淋巴样浸润55例。淋巴细胞性甲状腺炎最常见的年龄组为21 ~ 30岁,男女比例为1:10。淋巴组织浸润3级96.16%(25/26)、2级94.12%(16/17)、1级91.67%(11/12)的患者抗tpo和TSH升高。5例抗tpo升高,TSH升高,无淋巴浸润;5例仅TSH升高,抗tpo升高,无淋巴浸润。我们观察到3级淋巴细胞浸润与抗tpo和TSH联合或单独TSH相关,而与抗tpo无关。我们还观察到,即使没有淋巴细胞浸润,抗tpo和TSH的作用也很显著。结论。3级淋巴细胞浸润与抗tpo和TSH联合或单用TSH有统计学相关性,与抗tpo单用无统计学相关性。抗TPO在3级时辅助TSH。Hurthle细胞改变、巨细胞、肉芽肿与淋巴细胞性甲状腺炎无统计学相关性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Correlation of fine needle aspiration cytology findings with thyroid function test in cases of lymphocytic thyroiditis.

Background. Chronic lymphocytic thyroiditis is the second most common thyroid lesion diagnosed on FNAC after goiter. FNAC is reliable tool in the diagnosis of thyroid lesion. Objective. To correlate FNAC cytologic findings with TFT in the lymphocytic thyroiditis. Methods. 175 patients with thyroid swellings were referred for FNAC as well as TFT during 2011-2013. Fine needle aspiration cytology was performed using non-aspiration or aspiration techniques and TFT performed on Beckman culter access 2. Results. Lymphoid infiltrate was seen in 55 cases. The commonest age group of lymphocytic thyroiditis was 21-30 years with male : female ratio being 1 : 10. Anti-TPO and TSH were elevated in 96.16% (25/26) of cases with grade 3 lymphoid infiltrate, 94.12% (16/17) of cases with grade 2, and 91.67% (11/12) of cases with 1 grade. Increased anti-TPO with raised TSH without any lymphoid infiltrate was seen in 5 cases and 5 cases showed only raised TSH without raised anti-TPO and without any lymphoid infiltrate. We observed that grade 3 lymphocytic infiltration has correlation with anti-TPO and TSH together or TSH alone but not with anti-TPO alone. We also observed that anti-TPO and TSH together are significant even if no lymphocytic infiltration is present. Conclusion. Grade 3 lymphocytic infiltration has statistical correlation with anti-TPO and TSH together or TSH alone but not with anti-TPO alone. Anti TPO was adjunct to TSH in grade 3. The presence of Hurthle cell change, giant cells, and granulomas has no statistical correlation with lymphocytic thyroiditis.

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来源期刊
Journal of Thyroid Research
Journal of Thyroid Research ENDOCRINOLOGY & METABOLISM-
CiteScore
4.40
自引率
0.00%
发文量
10
审稿时长
17 weeks
期刊最新文献
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