甲状腺滤泡源性肿瘤超声诊断的难点及研究进展

doi:10.3969/j.issn.1006-5725.2026.07.007

Abstract

Abstract:

The updated histopathological classification of thyroid tumors recognizes follicular cell-derived thyroid neoplasms （FDN） as consisting of benign， low-risk， and malignant subtypes. Malignant FDN， mainly follicular thyroid carcinoma and oncocytic carcinoma， are linked to significantly poorer clinical outcomes when compared with benign lesions. However， conventional ultrasound risk stratification systems and fine-needle aspiration biopsy still have limitations in accurately differentiating benign from malignant FDN. In recent years， the incorporation of advanced ultrasound modalities， such as contrast-enhanced ultrasound and elastography， has offered promising ways to enhance preoperative diagnostic accuracy. A burgeoning body of research has aimed to tackle this long-standing challenge in FDN classification. This review outlines current diagnostic limitations and emphasizes recent advancements in the application of ultrasound techniques for the assessment of FDN.

Key words: follicular cell-derived thyroid neoplasms, ultrasonography, contrast-enhanced ultrasound, elastography, differential diagnosis

CLC Number:

R445.1

Chong HE,Yongyue ZHANG,Shumin WANG. Difficulties and research progress in ultrasonic diagnosis of follicular cell-derived thyroid neoplasms[J]. The Journal of Practical Medicine, 2026, 42(7): 1165-1170.

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Difficulties and research progress in ultrasonic diagnosis of follicular cell-derived thyroid neoplasms

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