Nitric oxide, thyroglobulin, and calcitonin: unraveling the nature of thyroid nodules

一氧化氮、甲状腺球蛋白和降钙素:揭示甲状腺结节的本质

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作者:Vladimir S Samardzic, Mirjana T Macvanin, Sonja S Zafirovic, Milan M Obradovic, Zoran M Gluvic, Jasmina Grubin, Xin Gao, Magbubah Essack, Esma R Isenovic

Background

Thyroid nodules (TN) are localized morphological changes in the thyroid gland and can be benign or malignant.

Conclusion

The findings of our study suggest that TGw and NOw could be used as potential predictors of malignancy in TN.

Methods

We investigated the relationships between serum biochemical markers nitric oxide (NO), thyroglobulin (TG), and calcitonin (CT), their homologs in washout after FNAB of the TN of interest, and cytology findings of biopsy samples classified according to the Bethesda system for thyroid cytopathology in this study, which included 86 subjects.

Objective

The present study investigates the relationships between biochemical markers in serum (s) and their homologs in washout (w) after fine-needle aspiration biopsy (FNAB) of the TN of interest and their correlation with cytology specimen findings.

Results

Washout TG (TGw) level positively correlates with the cytology finding of the biopsy. A higher level of TGw correlates with higher categories of the Bethesda classification and indicates a higher malignant potential. The levels of serum NO (NOs), serum TG (TGs), serum CT (CTs), and washout CT (CTw) do not correlate with the cytology finding of the biopsy, and the higher levels of washout NO (NOw) correspond to the more suspicious ultrasound findings.

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