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首页> 外文期刊>Endocrine. >Physical exam in asymptomatic people drivers the detection of thyroid nodules undergoing ultrasound guided fine needle aspiration biopsy
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Physical exam in asymptomatic people drivers the detection of thyroid nodules undergoing ultrasound guided fine needle aspiration biopsy

机译：在无症状人群中进行身体检查，以进行超声引导下细针穿刺活检的甲状腺结节的检测

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Understanding epidemiology and the factors leading to thyroid nodule diagnosis might help alter the course of the thyroid cancer epidemic. Population-based study using the Rochester Epidemiology Project database between 2003 and 2006. Patients with thyroid nodules who underwent ultrasound guided fine needle aspiration biopsy were included. We identified 453 patients with 520 thyroid nodules undergoing ultrasound guided fine needle aspiration. Patients were mostly women (n: 349, 77 %) with a mean age of 52 (standard deviation 17) years. The age-adjusted and sex-adjusted incidence of ultrasound guided fine needle aspiration-thyroid nodules between 2003 and 2006 was 89 (95 % confidence interval, 80-97) per 100,000 person-years; the incidence in women was 130 (95 % confidence interval, 117-144), and for men 43 (95 % confidence interval, 35-52) per 100,000 person-years. The incidence of ultrasound guided fine needle aspiration-thyroid nodules increased by 42 %, from 68 (95 % confidence interval, 54-82) in 2003 to 97 (95 % confidence interval, 80-113) per 100,000 person-years in 2006. The group with the highest incidence was patients between 70 and 79 years of age, 258 per 100,000 person-years. Most ultrasound guided fine needle aspiration-thyroid nodules were found in asymptomatic patients (n: 371, 82 %) by physical examination (n: 197, 43 %) or on imaging studies performed for non-thyroid issues (n: 108, 24 %). Women were more likely to have nodules detected by palpation (45 %), whereas imaging and physical examination contributed similarly in men (39 and 38 %). There is a large and rapid increase in the ultrasound guided fine needle aspiration-thyroid nodules, particularly among women and elderly patients which mirrors the trends observed in thyroid cancer. Most thyroid nodules were found in asymptomatic patients as a result of routine physical examination or imaging.
机译：了解流行病学和导致甲状腺结节诊断的因素可能有助于改变甲状腺癌流行病的进程。使用罗切斯特流行病学项目数据库在2003年至2006年之间进行基于人群的研究。纳入了接受超声引导的细针穿刺活检的甲状腺结节患者。我们确定了453例有520个甲状腺结节的患者接受了超声引导下的细针抽吸。患者多数为女性（n：349，77％），平均年龄为52岁（标准差为17岁）。在2003年至2006年间，超声引导的细针穿刺甲状腺结节的年龄和性别调整发病率是每100,000人年89例（95％置信区间80-97）。每100,000人年中，女性的发病率为130（95％的置信区间为117-144），男性为43（95％的置信区间为35-52）。超声引导下细针穿刺甲状腺结节的发生率从2003年的68（95％置信区间54-82）增加到2006年每100,000人年97（95％置信区间80-113）的发生率增加了42％。发生率最高的组是70至79岁的患者，每100,000人年258名。通过体检（n：197，43％）或在针对非甲状腺问题进行的影像学研究中（n：108，24％），在无症状患者中发现了大多数超声引导的细针穿刺甲状腺结节（n：371，82％）。 ）。女性更容易通过触诊检出结节（45％），而男性的影像学和体格检查的贡献相似（39％和38％）。超声引导下的细针穿刺甲状腺结节特别是在妇女和老年患者中有大幅度迅速增加，这反映了甲状腺癌的趋势。由于常规的体格检查或影像检查，大多数无症状的甲状腺结节被发现。

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