甲状腺结节4级严重吗
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺结节4类是<span style="color: black;">按照</span>TI-RADS分级来<span style="color: black;">评定</span>的，需<span style="color: black;">按照</span>结节<span style="color: black;">体积</span>、结节位置，<span style="color: black;">可否</span><span style="color: black;">显现</span>淋巴结转移等方面，判断<span style="color: black;">可否</span>严重。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic4.zhimg.com/80/v2-ff7afd5b063de2f96ef75619a8c8523b_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1）TI-RADS4级可分为4a，4b，4c级别，不同级别恶性程度不同。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">4级 4a，恶性3%～10%，<span style="color: black;">意见</span>穿刺活检，良性则随访；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">4b， 恶性11%～49%，<span style="color: black;">意见</span>穿刺活检，良性则随访；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">4c，恶性50%～94%，<span style="color: black;">意见</span>手术活检，良性则随访；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2）结节较小，<span style="color: black;">仅有</span>几毫米，且<span style="color: black;">处在</span>甲状腺内部，<span style="color: black;">无</span>淋巴转移的可能性，<span style="color: black;">通常</span>不严重，需观察<span style="color: black;">就可</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3）结节已接近1cm，或＞1cm，<span style="color: black;">乃至</span><span style="color: black;">处在</span>甲状腺边缘，有<span style="color: black;">必定</span>外侵<span style="color: black;">危害</span>，或有疑似淋巴结转移的<span style="color: black;">状况</span>，病情相对严重，需进行甲状腺穿刺活检，<span style="color: black;">知道</span>诊断。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-8dd8262e2245abb0f18666b8cf8e3ccc_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺4a、4b结节，<span style="color: black;">通常</span><span style="color: black;">意见</span>术前行穿刺诊断，<span style="color: black;">知道</span>结节的良恶性，不<span style="color: black;">意见</span>病人直接采取诊断性手术。4c类结节<span style="color: black;">思虑</span>恶性程度高，可行穿刺活检或手术活检，<span style="color: black;">按照</span>病理<span style="color: black;">状况</span>，<span style="color: black;">指点</span>手术方式。</p>
楼主发的这篇帖子，我觉得非常有道理。 论坛的成功是建立在我们诚恳、务实、高效、创新和团结合作基础上，我们要把这种精神传递下去。 感谢您的精彩评论，为我带来了新的思考角度。
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