СИСТЕМА TIRADS ПРИ УЗЛОВОЙ ПАТОЛОГИИ ЩИТОВИДНОЙ ЖЕЛЕЗЫ В ПРАКТИКЕ ЭНДОКРИНОЛОГА
Аннотация
На сегодняшний день патология щитовидной железы (ЩЖ) занимает ведущее место среди эндокринной патологии. При этом узловые образования в щитовидной железе определяются у 30-70% населения, по разным литературным данным. Чаще всего они представлены узловым пролиферирующим зобом, но небольшой процент – раком щитовидной железы. Выявление рака возможно при тонкоигольной аспирационной биопсии узлов (ТАБ) ЩЖ. Современные технические возможности позволяют выполнять ТАБ ЩЖ при размерах образований от 2-3 мм. Однако возникает вопрос: есть ли необходимость в инвазивной диагностике абсолютно всех выявленных образований ЩЖ? Тотальное проведение биопсий узловых образований не оправдано с точки зрения экономики и качества жизни пациентов. Полномасштабное внедрение системы TIRADS в работу первичного звена позволяет врачам ультразвуковой диагностики мотивированно обосновывать показания для выполнения ТАБ при узлах щитовидной железы. Внедрение TBSRTC в практику цитологических лабораторий создает условия для более эффективной работы цитологов. Современная диагностическая информационная система на основе TIRADS и TBSRTC позволяет сократить время принятия решения и уменьшить вероятность ошибки в постановке диагноза и при выборе дальнейшей лечебной тактики.
Литература
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