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Insights into Ultrasound Features and Risk Stratification Systems in Pediatric Patients with Thyroid Nodules
被引:2
|作者:
Gambale, Carla
[1
]
Rocha, Jose Vicente
[2
]
Prete, Alessandro
[1
]
Minaldi, Elisa
[1
]
Elisei, Rossella
[1
]
Matrone, Antonio
[1
]
机构:
[1] Pisa Univ Hosp, Dept Clin & Expt Med, Unit Endocrinol, I-56124 Pisa, Italy
[2] Serv Endocrinol Diabet & Metab, Unidade Local Saude Santa Maria, P-1649028 Lisbon, Portugal
关键词:
thyroid nodules;
neck ultrasound;
malignancy;
risk stratification systems;
pediatric age;
ultrasound features;
thyroid carcinoma;
management;
ASSOCIATION MANAGEMENT GUIDELINES;
ACR TI-RADS;
SONOGRAPHIC FEATURES;
FOLLICULAR VARIANT;
KOREAN SOCIETY;
CHILDREN;
CANCER;
MALIGNANCY;
ADOLESCENTS;
ULTRASONOGRAPHY;
D O I:
10.3390/jimaging10080189
中图分类号:
TB8 [摄影技术];
学科分类号:
0804 ;
摘要:
Thyroid nodules in pediatric patients are less common than in adults but show a higher malignancy rate. Accordingly, the management of thyroid nodules in pediatric patients is more complex the younger the patient is, needing careful evaluation by physicians. In adult patients, specific ultrasound (US) features have been associated with an increased risk of malignancy (ROM) in thyroid nodules. Moreover, several US risk stratification systems (RSSs) combining the US features of the nodule were built to define the ROM. RSSs are developed for the adult population and their use has not been fully validated in pediatric patients. This study aimed to evaluate the available data about US features of thyroid nodules in pediatric patients and to provide a summary of the evidence regarding the performance of RSS in predicting malignancy. Moreover, insights into the management of thyroid nodules in pediatric patients will be provided.
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页数:11
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