Thyroid nodules over 4 cm do not have higher malignancy or benign cytology false-negative rates
Thyroid nodules over 4 cm do not have higher malignancy or benign cytology false-negative rates
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DOI：
10.1007/s12020-019-01964-3
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发表时间：
2019-11-01
期刊：
影响因子：
3.7
通讯作者：
Burmeister, Lynn A.
中科院分区：
文献类型：
--
作者：
Kizilgul, Muhammed;Shrestha, Rupendra;Burmeister, Lynn A.
目的 细胞学检查结果为 4 cm 或更大的甲状腺结节是否具有更高的恶性肿瘤风险，是否应与较小结节不同地进行治疗仍存在争议。我们的目的是评估≥ 4 cm甲状腺结节与= 4 vs. = 4 cm的甲状腺结节的恶性率和良性细胞学假阴性率，并且353个= 4 vs. = 4和= 4 cm的结节在手术时没有比较小结节更高的恶性率，也没有比较小结节更高的良性细胞学假阴性率。超过 4 厘米的甲状腺结节不需要切除，仅根据大小即可排除恶性肿瘤。
Purpose Whether thyroid nodules 4 cm or larger with benign cytology carry a higher risk of malignancy, and should be managed differently than smaller nodules remains controversial. We aimed to evaluate the malignancy rate and benign cytology false-negative rate in thyroid nodules >= 4 cm compared with those = 4 vs. = 4 cm and 353 nodules were = 4 vs. = 4 and = 4 cm do not have a higher malignancy rate at surgery nor higher benign cytology false-negative rate than smaller nodules. Thyroid nodules over 4 cm do not require resection, to rule out malignancy, based on size alone.