Decision Making in Indeterminate Thyroid Nodules and the Role of Molecular Testing

被引:9
|
作者
Mitchell, Janeil [1 ]
Yip, Linwah [2 ]
机构
[1] Fox Valley Surg Associates, Endocrine Surg, 1818 North Meade St, Appleton, WI 54911 USA
[2] Univ Pittsburgh, Sch Med, Dept Surg, Div Endocrine Surg, Kaufman Med Bldg,3471 Fifth Ave,Suite 101, Pittsburgh, PA 15213 USA
关键词
Indeterminate thyroid nodule; Gene mutations; Molecular testing; Mutational analysis; Gene expression classifier; Gene sequencing; microRNA classifier; TERT PROMOTER MUTATIONS; GENE-EXPRESSION CLASSIFIER; BRAF V600E MUTATION; ENCAPSULATED FOLLICULAR VARIANT; COST-EFFECTIVENESS; BETHESDA SYSTEM; RET/PTC REARRANGEMENTS; PREOPERATIVE DIAGNOSIS; NUCLEAR FEATURES; MAJOR INDICATOR;
D O I
10.1016/j.suc.2019.04.002
中图分类号
R61 [外科手术学];
学科分类号
摘要
Cytologically indeterminate thyroid nodules are associated with a broad range (5%-75%) of malignant risk and accurately informing definitive management poses a challenge. Advancements in molecular testing of fine-needle aspiration biopsies have improved preoperative diagnostic accuracy and prognostication. For indeterminate nodules, such testing ideally will reduce the need for surgery for benign nodules and potentially guide appropriate extent of initial surgery for malignancy.
引用
收藏
页码:587 / +
页数:13
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