{"id":59847,"date":"2025-11-04T05:10:16","date_gmt":"2025-11-04T05:10:16","guid":{"rendered":"http:\/\/zydq.1006ss.com\/?p=59847"},"modified":"2025-11-04T05:10:16","modified_gmt":"2025-11-04T05:10:16","slug":"%e7%94%b2%e7%8a%b6%e8%85%bafna%e7%bb%86%e8%83%9e%e7%97%85%e7%90%86%e5%ad%a6%e8%af%8a%e6%96%ad","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=59847","title":{"rendered":"\u7532\u72b6\u817aFNA\u7ec6\u80de\u75c5\u7406\u5b66\u8bca\u65ad"},"content":{"rendered":"

\u7532\u72b6\u817a\u80bf\u7624\u662f\u5185\u5206\u6ccc\u7cfb\u7edf\u6700\u5e38\u89c1\u7684\u80bf\u7624\u4e4b\u4e00 \u3002\u8fd1 30 \u5e74\u6765\u6211\u56fd\u7532\u72b6\u817a\u764c\u53d1\u75c5\u4eba\u6570\u4ee5\u6bcf\u5e74 20% \u7684\u901f\u5ea6\u6301\u7eed\u589e\u957f\uff0c\u6210\u4e3a\u5168\u56fd\u53d1\u75c5\u7387\u7b2c 7 \u4f4d\u7684\u764c\u79cd\u3002\u6211\u56fd\u7532\u72b6\u817a\u764c 10 \u5e74\u751f\u5b58\u7387\u4e3a 84.3%\uff0c\u4e0e\u6b27\u7f8e\u56fd\u5bb6\u76f8\u6bd4\u4ecd\u6709\u4e00\u5b9a\u5dee\u8ddd \u3002\u8d85\u58f0\u5f15\u5bfc\u4e0b\u7ec6\u9488\u7a7f\u523a\uff08fine needle aspiration\uff0cFNA\uff09\u7ec6\u80de\u5b66\u8bca\u65ad\u662f\u8bc4\u4f30\u7532\u72b6\u817a\u7ed3\u8282\u826f\u6076\u6027\u7684\u91cd\u8981\u65b9\u6cd5\uff0c\u672f\u524d\u884c\u8d85\u58f0\u5f15\u5bfc\u4e0b FNA \u53ef\u6709\u6548\u63d0\u9ad8\u7532\u72b6\u817a\u624b\u672f\u6076\u6027\u80bf\u7624\u6bd4\u4f8b\uff0c\u907f\u514d\u4e0d\u5fc5\u8981\u7684\u624b\u672f\u3002\u8d85\u58f0\u5f15\u5bfc\u4e0bFNA\u9002\u7528\u4e8e\u9996\u8bca\u53ef\u7591\u6076\u6027\u7684\u7532\u72b6\u817a\u7ed3\u8282\u3001\u8003\u8651\u590d\u53d1\u3001\u8f6c\u79fb\u6027\u7532\u72b6\u817a\u764c\u7684\u672f\u524d\u660e\u786e\u8bca\u65ad\u3002<\/p>\n

FNA\u7ec6\u80de\u5b66\u8bca\u65ad<\/p>\n

\u7532\u72b6\u817a\u7ec6\u80de\u5b66 Bethesda \u8bca\u65ad\u62a5\u544a\u7cfb\u7edf\u81ea 2010 \u5e74\u51fa\u7248\u4ee5\u6765\u5f97\u5230\u4e86\u56fd\u9645\u540c\u884c\u7684\u666e\u904d\u8ba4\u53ef\uff0c\u56fd\u5185\u4e5f\u6709\u8bb8\u591a\u5e94\u7528\uff0c\u4f46\u5728\u5b9e\u8df5\u4e2d\u4e5f\u53d1\u73b0\u5b58\u5728\u4e00\u4e9b\u95ee\u9898\uff0c\u5982\u6709\u4e9b\u8bca\u65ad\u5206\u7c7b\u6709\u4ea4\u53c9\u91cd\u53e0\u4e0d\u6613\u638c\u63e1 \u3002\u56e0\u6b64 \u672c\u5171\u8bc6\u4ee5\u7532\u72b6\u817a\u7ec6\u80de\u5b66 Bethesda \u8bca\u65ad\u62a5\u544a\u7cfb\u7edf\u4e3a\u57fa\u672c\u9075\u5faa\uff0c\u8fdb\u884c\u4e86\u9002\u5f53\u7684\u4fee\u6539\uff0c\u4ee5\u4fbf\u4e8e\u6211\u56fd\u75c5\u7406\u533b\u5e08\u5728\u5b9e\u9645\u5de5\u4f5c\u4e2d\u66f4\u5bb9\u6613\u638c\u63e1\u548c\u5e94\u7528\uff0c\u79f0\u7532\u72b6\u817a\u7ec6\u9488\u7a7f\u523a\u7ec6\u80de\u75c5\u7406\u5b66\u8bca\u65ad\u4e13\u5bb6\u5171\u8bc6\uff082023\u7248\uff09\u3002\u8bca\u65ad\u62a5\u544a\u5305\u542b\u603b\u4f53\u8bca\u65ad\u7c7b\u522b\u53ca\u4e9a\u5206\u7c7b\uff08\u8868 1\uff09\uff0c\u4ea6\u53ef\u6839\u636e\u60c5\u51b5\u589e\u52a0\u63cf\u8ff0\u6027\u6ce8\u91ca\u548c\u5efa\u8bae\u3002\u6bcf\u4e00\u4e2a\u5206\u7c7b\u90fd\u6709\u76f8\u5e94\u7684\u6076\u6027\u98ce\u9669\u7b49\u7ea7\uff0c\u5e76\u5bf9\u5e94\u4ee5\u79d1\u5b66\u5faa\u8bc1\u4e3a\u57fa\u7840\u7684\u4e34\u5e8a\u5904\u7406\u5171\u8bc6\uff08\u8868 2\uff09\u3002\u7532\u72b6\u817a FNA \u7ec6\u80de\u75c5\u7406\u5b66\u8bca\u65ad\u6807\u51c6\u5982\u4e0b\u3002<\/p>\n<\/p>\n

\u2160\u7c7b\uff1a\u6807\u672c\u65e0\u6cd5\u8bca\u65ad\u3001\u6807\u672c\u4e0d\u6ee1\u610f\u3002\u9001\u68c0\u6837\u672c\u56e0\u7ec6\u80de\u91cf\u4e0d\u8db3\u3001\u7ec6\u80de\u6d82\u7247\u8d28\u91cf\u4e0d\u4f73\u3001\u6807\u672c\u56fa\u5b9a\u4e0d\u4f73\u3001\u5bcc\u4e8e\u8840\u6db2\u6837\u672c\u7b49\u800c\u672a\u80fd\u6ee1\u8db3\u8bca\u65ad\u8981\u6c42\uff0c\u5219\u89c6\u4e3a\u65e0\u6cd5\u8bca\u65ad\u6216\u4e0d\u6ee1\u610f\u6807\u672c\u3002\u5982FNA\u6837\u672c\u4e2d\u5305\u542b\u4e0d\u5c11\u4e8e6\u56e2\u7ec6\u80de\uff0c\u7ec6\u80de\u56e2\u5f62\u6001\u4fdd\u5b58\u5b8c\u597d\u3001\u6e05\u6670\u53ef\u89c1\uff08\u67d3\u8272\u826f\u597d\uff0c\u7ec6\u80de\u65e0\u626d\u66f2\u53d8\u5f62\u3001\u906e\u76d6\uff09\uff0c\u6bcf\u56e2\u7ec6\u80de\u81f3\u5c11\u542b\u670910\u4e2a\u6ee4\u6ce1\u4e0a\u76ae\u7ec6\u80de\uff0c\u4e14\u4e0a\u8ff0\u7ec6\u80de\u6700\u597d\u5728\u4e00\u5f20\u6d82\u7247\u4e0a\uff0c\u5219\u53ef\u8bc4\u4f30\u4e3a\u6ee1\u610f\u6807\u672c\u3002\u5982\u7ec6\u80de\u91cf\u867d\u7136\u5c11\u4e8e60\uff0c\u4f46\u5f62\u6001\u5178\u578b\uff0c\u53ef\u8ba4\u5b9a\u4e3a\u6ee1\u610f\u6807\u672c\u3002\u4ec5\u6709\u5c11\u91cf\u56ca\u6027\u5185\u5bb9\u7269\u6210\u5206\u7684FNA\u6807\u672c\uff0c\u9700\u7ed3\u5408\u8d85\u58f0\u5f71\u50cf\u7279\u70b9\u5206\u6790\u3002\u5982\u8d85\u58f0\u7ed3\u679c\u63d0\u793a\u4e3a\u826f\u6027\u75c5\u53d8\uff0c\u5efa\u8bae\u8bca\u65ad\u4e3a\u826f\u6027\u3002\u800c\u8d85\u58f0\u7ed3\u679c\u4e0d\u786e\u5b9a\u8005\uff0c\u5e94\u8bca\u65ad\u4e3a\u6807\u672c\u65e0\u6cd5\u8bca\u65ad\u6216\u6807\u672c\u4e0d\u6ee1\u610f\uff0c\u5efa\u8bae\u91cd\u590dFNA\u8fdb\u4e00\u6b65\u660e\u786e\u8bca\u65ad\u3002<\/p>\n

\u2161\u7c7b\uff1a\u826f\u6027\u75c5\u53d8\u3002\u5efa\u8bae\u4f7f\u7528\u201c\u826f\u6027\u75c5\u53d8\uff08benign disease\uff09\u201d\u672f\u8bed\uff0c\u4e0d\u63a8\u8350\u4f7f\u7528\u201c\u672a\u89c1\u6076\u6027\u80bf\u7624\u201d\u548c\u201c\u975e\u80bf\u7624\u6027\u75c5\u53d8\u201d\u3002\u53ef\u8fdb\u4e00\u6b65\u7ec6\u5206\u4e3a\u826f\u6027\u6ee4\u6ce1\u6027\u7ed3\u8282\u3001\u7532\u72b6\u817a\u708e\u548c\u5176\u4ed6\u5c11\u89c1\u75c5\u53d8\u7b49\u3002\u2161\u7c7b\u6076\u6027\u98ce\u9669\u5f88\u4f4e\uff0c\u53ef\u4e34\u5e8a\u548c\u8d85\u58f0\u968f\u8bca\uff0c\u4e0d\u9700\u624b\u672f\u5e72\u9884\u3002<\/p>\n

\u2162\u7c7b\uff1a\u610f\u4e49\u4e0d\u660e\u786e\u7684\u4e0d\u5178\u578b\u75c5\u53d8\uff08atypia of undetermined significance\uff09\u3002\u9002\u7528\u4e8e\u7ec6\u80de\u6216\u7ed3\u6784\u5f02\u578b\u6027\u8f83\u5c0f\uff0c\u4e0d\u8db3\u4ee5\u5f52\u5165\u4efb\u4f55\u4e00\u79cd\u6076\u6027\u6216\u53ef\u7591\u6076\u6027\u80bf\u7624\u7684\u6ee4\u6ce1\u4e0a\u76ae\u7ec6\u80de\u8d77\u6e90\u548c\u975e\u6ee4\u6ce1\u4e0a\u76ae\u7ec6\u80de\u8d77\u6e90\u7684\u75c5\u53d8\uff0c\u5982\u7532\u72b6\u817a\u6ee4\u6ce1\u65c1\u7ec6\u80de\uff08C\u7ec6\u80de\uff09\u3001\u6dcb\u5df4\u7ec6\u80de\u3001\u7532\u72b6\u65c1\u817a\u7ec6\u80de\u3001\u95f4\u53f6\u6e90\u6027\u7ec6\u80de\u7b49\u3002\u5728\u7532\u72b6\u817a\u6ee4\u6ce1\u4e0a\u76ae\u7ec6\u80de\u8d77\u6e90\u7684\u75c5\u53d8\u4e2d\uff0c\u7ec6\u80de\u7565\u589e\u5927\uff0c\u6838\u578b\u7565\u4e0d\u89c4\u5219\u3001\u6838\u6c9f\u53ca\u6838\u5185\u5047\u5305\u6db5\u4f53\u4e0d\u660e\u663e\u7684\u75c5\u4f8b\uff0c\u5747\u5728\u6b64\u7c7b\u522b\u3002\u7ec6\u80de\u5b66\u8bca\u65ad\u4e2d\u5e94\u5c3d\u91cf\u907f\u514d\u4f7f\u7528\u610f\u4e49\u4e0d\u660e\u786e\u7684\u4e0d\u5178\u578b\u75c5\u53d8\uff0c\u6b64\u4e3a\u4e00\u7c7b\u6392\u9664\u6027\u8bca\u65ad\uff0c\u5176\u603b\u4f53\u6bd4\u4f8b\u5e94\u63a7\u5236\u57287%~10%\u4ee5\u5185\u3002\u5982\u8d85\u51fa\u6b64\u6807\u51c6\uff0c\u5e94\u8fdb\u884c\u7ec6\u80de\u5b66\u8d28\u63a7\u53ca\u57f9\u8bad\u3002<\/p>\n<\/p>\n

\u2163\u7c7b\uff1a\u6ee4\u6ce1\u6027\u80bf\u7624\u6216\u53ef\u7591\u6ee4\u6ce1\u6027\u80bf\u7624\uff1b\u55dc\u9178\u7ec6\u80de\u80bf\u7624\u6216\u53ef\u7591\u55dc\u9178\u7ec6\u80de\u80bf\u7624\u3002\u5305\u62ec\u4ee5\u4e0b\u4e9a\u7c7b\uff1a<\/p>\n

\uff081\uff09\u2163a\uff1a\u6ee4\u6ce1\u6027\u80bf\u7624\uff08follicular neoplasm\uff09\u6216\u53ef\u7591\u6ee4\u6ce1\u6027\u80bf\u7624\uff08suspicious for a follicular neoplasm\uff09\u3002\u8bca\u65ad\u6807\u51c6\u4e3a\u5177\u6709\u8f7b\u5ea6\u7ec6\u80de\u6838\u6539\u53d8\uff0c\u5305\u62ec\u8f7b\u5ea6\u6838\u5927\u3001\u6838\u819c\u4e0d\u89c4\u5219\u548c\/\u6216\u6838\u900f\u660e\uff0c\u7f3a\u4e4f\u4e73\u5934\u7ed3\u6784\u548c\u6838\u5185\u5305\u6db5\u4f53\u3002\u5bf9\u4e8e\u5c11\u6570\u6ee4\u6ce1\u6027\u80bf\u7624\/\u53ef\u7591\u6ee4\u6ce1\u6027\u80bf\u7624\uff0c\u5982\u7ec6\u80de\u5b66\u6d82\u7247\u6709\u5927\u91cf\u5fae\u6ee4\u6ce1\uff0c\u8f7b\u5ea6\u6216\u90e8\u5206\u7ec6\u80de\u6838\u5927\u3001\u6838\u819c\u4e0d\u89c4\u5219\u6216\u6838\u900f\u660e\u6539\u53d8\uff0c\u5e94\u5728\u7ec6\u80de\u5b66\u62a5\u544a\u4e2d\u589e\u52a0\u5907\u6ce8\uff1a\u5c3d\u7ba1\u7ec6\u80de\u5b66\u5f62\u6001\u548c\u7ed3\u6784\u63d0\u793a\u6ee4\u6ce1\u6027\u80bf\u7624\uff0c\u6709\u6d78\u6da6\u6027\u6ee4\u6ce1\u578b\u4e73\u5934\u72b6\u764c\u6216\u5177\u6709\u4e73\u5934\u72b6\u6838\u7279\u70b9\u7684\u975e\u6d78\u6da6\u6027\u7532\u72b6\u817a\u6ee4\u6ce1\u80bf\u7624\u4e4b\u53ef\u80fd\uff0c\u4f46\u7ec6\u80de\u5b66\u8bca\u65ad\u4e0d\u80fd\u786e\u5b9a\u3002<\/p>\n

\uff082\uff09\u2163b\uff1a\u55dc\u9178\u7ec6\u80de\u80bf\u7624\uff08oncocytic tumour\uff09\u6216\u53ef\u7591\u55dc\u9178\u7ec6\u80de\u80bf\u7624\uff08suspicious of oncocytic tumour\uff09\u3002\u8bca\u65ad\u6807\u51c6\u4e3a\u5177\u670975%\u7684\u6ee4\u6ce1\u4e0a\u76ae\u7ec6\u80de\u4e3a\u55dc\u9178\u6027\u7ec6\u80de\u3001\u7f3a\u4e4f\u7532\u72b6\u817a\u4e73\u5934\u72b6\u764c\uff08papillary thyroid carcinoma\uff0cPTC\uff09\u7ec6\u80de\u6838\u7279\u5f81\u3001\u975e\u6865\u672c\u7532\u72b6\u817a\u708e\u80cc\u666f\uff0c\u53ef\u8bca\u65ad\u4e3a\u55dc\u9178\u7ec6\u80de\u80bf\u7624\u6216\u53ef\u7591\u55dc\u9178\u7ec6\u80de\u80bf\u7624\u3002<\/p>\n

\u2164\u7c7b\uff1a\u53ef\u7591\u6076\u6027\u80bf\u7624\uff08suspicious for malignancy\uff09\u3002\u82e5\u90e8\u5206\u7ec6\u80de\u5f62\u6001\u548c\/\u6216\u7ed3\u6784\u7279\u5f81\u5f3a\u70c8\u63d0\u793a\u6076\u6027\u80bf\u7624\uff0c\u4f46\u53c8\u4e0d\u8db3\u4ee5\u660e\u786e\u8bca\u65ad\uff0c\u5219\u5f52\u7c7b\u4e3a\u53ef\u7591\u6076\u6027\u80bf\u7624\u3002\u53ef\u6839\u636e\u7ec6\u80de\u7279\u5f81\u7ec6\u5206\u4e3a\uff1a\u53ef\u7591\u4e73\u5934\u72b6\u764c\u3001\u53ef\u7591\u9ad3\u6837\u764c\u3001\u53ef\u7591\u6dcb\u5df4\u7624\u3001\u53ef\u7591\u8089\u7624\u7b49\uff0c\u53ef\u6839\u636e\u9700\u8981\u589e\u52a0\u76f8\u5e94\u5206\u5b50\u68c0\u6d4b\u548c\/\u6216\u514d\u75ab\u7ec6\u80de\u5316\u5b66\u8f85\u52a9\u660e\u786e\u8bca\u65ad\u3002<\/p>\n

\u2165\u7c7b\uff1a\u6076\u6027\u80bf\u7624\uff08malignancy\uff09\u3002\u7ec6\u80de\u5f62\u6001\u548c\u7ed3\u6784\u7279\u5f81\u4e3a\u660e\u786e\u7684\u6076\u6027\u80bf\u7624\uff0c\u5305\u62ecPTC\u3001\u55dc\u9178\u7ec6\u80de\u764c\u3001\u4f4e\u5206\u5316\u764c\u3001\u9ad3\u6837\u764c\u3001\u95f4\u53d8\u6027\u764c\u3001\u6df7\u5408\u6027\u764c\u3001\u8f6c\u79fb\u6027\u764c\u3001\u6dcb\u5df4\u7624\u3001\u8089\u7624\u7b49\u3002\u5305\u62ec\u4ee5\u4e0b\u4e9a\u7c7b\uff1a<\/p>\n

\uff081\uff09\u2165a\uff1a\u4e73\u5934\u72b6\u764c\u3002\u6076\u6027\u80bf\u7624\u5206\u7c7b\u4e2d\u6700\u5e38\u89c1\u7684\u7c7b\u578b\u662fPTC\uff0c\u5927\u591a\u6570\u4e3a\u7ecf\u5178\u578b\uff0c\u5bf9\u5176\u4ed6\u5404\u4e9a\u578b\u7ec6\u80de\u5b66\u7279\u70b9\u7684\u638c\u63e1\u6709\u52a9\u4e8e\u9274\u522b\u8bca\u65ad\u3002PTC\u5f62\u6001\u7279\u5f81\u4e3a\u7ec6\u80de\u5448\u4e73\u5934\u72b6\u6216\u5355\u5c42\u7247\u72b6\u6392\u5217\uff0c\u53ef\u89c1\u65cb\u6da1\u72b6\u7ed3\u6784\uff0c\u7ec6\u80de\u6838\u589e\u5927\u3001\u62e5\u6324\uff0c\u5e38\u89c1\u6838\u91cd\u53e0\uff0c\u53ef\u89c1\u7eb5\u884c\u6838\u6c9f\u3001\u6838\u5185\u5047\u5305\u6db5\u4f53\uff0c\u6838\u67d3\u8272\u8d28\u5448\u6bdb\u73bb\u7483\u6837\uff0c\u6838\u819c\u4e00\u822c\u8f83\u539a\uff0c\u80cc\u666f\u53ef\u89c1\u6c99\u783e\u4f53\u3002\u5176\u4e2d\u9ad8\u7ec6\u80de\u578b\u3001\u67f1\u72b6\u7ec6\u80de\u578b\u3001\u978b\u9489\u578b\u4e3a\u9ad8\u4fb5\u88ad\u6027\u4e9a\u578b\uff0c\u590d\u53d1\u98ce\u9669\u9ad8\uff0c\u57fa\u56e0\u578b\u76f8\u5bf9\u590d\u6742\u3002\u672c\u5171\u8bc6\u5efa\u8bae\u5e94\u5c3d\u53ef\u80fd\u63d0\u793a\u662f\u5426\u4e3a\u9ad8\u4fb5\u88ad\u6027\u4e9a\u578b\uff0c\u5bf9\u9ad8\u4fb5\u88ad\u6027\u4e9a\u578b\u7ec6\u80de\u6bd4\u4f8b\u4e0d\u8db3\uff0c\u96be\u4ee5\u786e\u5207\u8bca\u65ad\u9ad8\u4fb5\u88ad\u4e9a\u578b\uff0c\u4f46\u5177\u6709\u9ad8\u4fb5\u88ad\u6027\u7ec6\u80de\u5b66\u7279\u5f81\u7684\u80bf\u7624\u4e88\u4ee5\u6ce8\u660e\uff0c\u5982\u201cPTC\uff0c\u975e\u7ecf\u5178\u578b\uff0c\u542b\u7ea610%\u9ad8\u7ec6\u80de\u6210\u5206\u201d\u7b49\u3002<\/p>\n

\uff082\uff09\u2165b\uff1a\u9ad3\u6837\u764c\u3002\u7532\u72b6\u817a\u9ad3\u6837\u764c\uff08medullary thyroid carcinoma\uff09\u662f\u4e00\u79cd\u8d77\u6e90\u4e8e\u7532\u72b6\u817a\u6ee4\u6ce1\u65c1\u7ec6\u80de\uff08C\u7ec6\u80de\uff09\u7684\u795e\u7ecf\u5185\u5206\u6ccc\u80bf\u7624\uff0c\u7ec6\u80de\u91cf\u5927\u5448\u5f25\u6563\u5206\u5e03\uff0c\u7ec6\u80de\u5f62\u6001\u591a\u6837\uff0c\u5982\u6d46\u7ec6\u80de\u6837\u3001\u68ad\u5f62\u7b49\uff0c\u53ef\u6709\u6dc0\u7c89\u6837\u7269\u8d28\uff0c\u514d\u75ab\u7ec6\u80de\u5316\u5b66\u6709\u52a9\u4e8e\u5176\u8bca\u65ad\u4e0e\u9274\u522b\u8bca\u65ad\u3002<\/p>\n

\uff083\uff09\u2165c\uff1a\u4f4e\u5206\u5316\u764c\u3002\u7532\u72b6\u817a\u4f4e\u5206\u5316\u764c\uff08poorly differentiated thyroid carcinoma\uff09\u8d77\u6e90\u4e8e\u6ee4\u6ce1\u4e0a\u76ae\u7ec6\u80de\uff0c\u4ee5\u5b9e\u6027\u3001\u6881\u72b6\u3001\u5c9b\u5c7f\u72b6\u7ed3\u6784\u4e3a\u4e3b\u3001\u4e0d\u5177\u6709\u4e73\u5934\u72b6\u764c\u7ec6\u80de\u6838\u7279\u5f81\uff0c\u5177\u6709\u9ad8\u7ea7\u522b\u5f62\u6001\u7279\u5f81\uff0c\u5982\u6838\u5206\u88c2\u8c61\u591a\u3001\u574f\u6b7b\u7b49\u3002\u540c\u65f6\u5177\u6709\u55dc\u9178\u7ec6\u80de\u764c\u548c\u4f4e\u5206\u5316\u764c\u7279\u5f81\u7684\u80bf\u7624\uff0c\u4e3a\u4f4e\u5206\u5316\u55dc\u9178\u7ec6\u80de\u764c\u3002<\/p>\n

\uff084\uff09\u2165d\uff1a\u95f4\u53d8\u6027\u764c\u3002\u95f4\u53d8\u6027\u7532\u72b6\u817a\u764c\uff08anaplastic thyroid carcinoma\uff09\u662f\u4e00\u79cd\u9ad8\u7ea7\u522b\u3001\u591a\u5f62\u6027\u7532\u72b6\u817a\u6ee4\u6ce1\u4e0a\u76ae\u6e90\u6027\u80bf\u7624\uff0c\u540c\u65f6\u5177\u6709\u4e0a\u76ae\u6837\u548c\u68ad\u5f62\u7ec6\u80de\u5f62\u6001\u7279\u5f81\u3002\u80cc\u666f\u53ef\u89c1\u574f\u6b7b\u3001\u4e2d\u6027\u7c92\u7ec6\u80de\u805a\u96c6\u3001\u8113\u80bf\u5f62\u6210\u7b49\u3002\u7ec6\u80de\u6838\u660e\u663e\u5f02\u578b\u6027\uff0c\u6838\u589e\u5927\u3001\u6838\u8d28\u6bd4\u9ad8\u3001\u67d3\u8272\u8d28\u5448\u56e2\u5757\u72b6\uff0c\u6838\u5206\u88c2\u8c61\u591a\u89c1\uff0c\u53ef\u89c1\u7a7f\u5165\u73b0\u8c61\u3002\u9cde\u72b6\u7ec6\u80de\u764c\u4e3a\u95f4\u53d8\u6027\u764c\u7684\u4e00\u4e2a\u4e9a\u578b\u3002<\/p>\n

\uff085\uff09\u2165e\uff1a\u5176\u4ed6\u6076\u6027\u80bf\u7624\u3002\u7532\u72b6\u817a\u6076\u6027\u80bf\u7624\u5206\u7c7b\u91cc\u8fd8\u5305\u62ec\u6dcb\u5df4\u7624\u3001\u8f6c\u79fb\u6027\u764c\u4ee5\u53ca\u5176\u4ed6\u7f55\u89c1\u95f4\u53f6\u6e90\u6027\u80bf\u7624\u3002\u6dcb\u5df4\u7624\u4e2d\u4ee5B\u7ec6\u80de\u6dcb\u5df4\u7624\u591a\u89c1\u3002\u7532\u72b6\u817a\u5185\u8f6c\u79fb\u764c\u9700\u7ed3\u5408\u539f\u53d1\u90e8\u4f4d\u80bf\u7624\u7684\u7ec4\u7ec7\u5b66\u5f62\u6001\u53ca\u514d\u75ab\u7ec6\u80de\u5316\u5b66\u7279\u5f81\u4f5c\u51fa\u8bca\u65ad\u3002\u5176\u4ed6\u7f55\u89c1\u80bf\u7624\u5305\u62ec\u7b5b\u72b6\u6851\u845a\u578b\u7532\u72b6\u817a\u764c\u3001\u526f\u795e\u7ecf\u8282\u7624\u3001Langhans\u7ec4\u7ec7\u7ec6\u80de\u589e\u751f\u75c7\u3001\u9ecf\u6db2\u8868\u76ae\u6837\u764c\u3001\u5206\u6ccc\u6027\u764c\u3001\u5f02\u4f4d\u80f8\u817a\u7624\/\u764c\u3001\u663e\u793a\u80f8\u817a\u6837\u5206\u5316\u7684\u68ad\u5f62\u7ec6\u80de\u80bf\u7624\u3001NUT\u764c\u7b49\u3002\u5177\u6709\u660e\u786e\u7279\u5f81\u8005\uff0c\u53ef\u5728\u8bca\u65ad\u4e2d\u5907\u6ce8\u3002\u5982\u9700\u8fdb\u4e00\u6b65\u660e\u786e\uff0c\u5efa\u8bae\u884c\u7ec6\u80de\u8721\u5757\u514d\u75ab\u7ec6\u80de\u5316\u5b66\u67d3\u8272\u8f85\u52a9\u8bca\u65ad\u3002<\/p>\n

\u5f15\u7528\u672c\u6587:<\/p>\n

\u7532\u72b6\u817a\u7ec6\u9488\u7a7f\u523a\u7ec6\u80de\u75c5\u7406\u5b66\u8bca\u65ad\u4e13\u5bb6\u5171\u8bc6\u7f16\u5199\u7ec4, \u4e2d\u534e\u533b\u5b66\u4f1a\u75c5\u7406\u5b66\u5206\u4f1a\u7ec6\u80de\u75c5\u7406\u5b66\u7ec4. \u7532\u72b6\u817a\u7ec6\u9488\u7a7f\u523a\u7ec6\u80de\u75c5\u7406\u5b66\u8bca\u65ad\u4e13\u5bb6\u5171\u8bc6\uff082023\u7248\uff09 [J] . \u4e2d\u534e\u75c5\u7406\u5b66\u6742\u5fd7, 2023, 52(5) : 441-446. DOI: 10.3760\/cma.j.cn112151-20220916-00782.<\/p>\n","protected":false},"excerpt":{"rendered":"

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