儿童和青少年甲状腺结节:小型综述

Catherine E. Kerr, Sarah D. Hackman, Gary L. Francis
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引用次数: 10

摘要

甲状腺结节(TN)和分化型甲状腺癌(DTC)在越来越多的儿童和青少年中被报道。这在一定程度上是由于甲状腺超声(US)监测和细针抽吸(FNA)诊断的使用增加1。然而,大TN和DTC也越来越常见,这表明发病率确实在上升2。有几个因素会增加TN的风险,包括遗传综合征、辐射暴露、碘缺乏、自身免疫性甲状腺疾病(AIT)和Graves病(GD)。这篇综述将介绍TN患病率、危险因素、鉴别诊断、评估和管理方面的最新进展。
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Thyroid Nodules in Children and Adolescents: Mini-review
Thyroid nodules (TN) and differentiated thyroid cancers (DTC) are reported in increasing numbers of children and adolescents. In part, this results from increased use of thyroid ultrasound (US) surveillance and diagnosis using fine needle aspiration (FNA)1. However, large TN and DTC are also increasingly common, suggesting a true rise in incidence2. Several factors increase the risk for TN, including genetic syndromes, radiation exposure, iodine deficiency, autoimmune thyroid disease (AIT), and Graves’ disease (GD). This review will address recent advances in knowledge regarding TN prevalence, risk factors, differential diagnosis, evaluation, and management.
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