Study On The Correlation Between The Benign And Malignant Properties Of Bethesda Type Ⅲ Thyroid Nodules And The Characteristics Of Tongue

Objective:The purpose of this study is to explore the correlation between the benign and malignant nature of Bethesda type Ⅲ thyroid nodule and the characteristics of tongue in traditional Chinese medicine,to assist the patients with Bethesda type Ⅲ thyroid nodule who are not willing to repeat ug-fnac,to avoid overtreatment,to provide theoretical basis for syndrome differentiation and treatment in traditional Chinese medicine,and to promote the objectification of syndrome differentiation in traditional Chinese medicine.Methods:According to the criteria of diagnosis,inclusion and exclusion,52 patients with Bethesda type Ⅲ thyroid nodule were selected.Collect the general information,pathological results and other data of patients,carefully diagnose the characteristics of tongue image of patients,and record them in the designed excel.Spss25.0 software was used to analyze the collected data and compare the correlation between the benign and malignant nature of Bethesda type Ⅲthyroid nodules and the tongue image of traditional Chinese medicine.Results:1.In this study,52 cases of Bethesda type Ⅲ thyroid nodules were collected,including 23 cases of benign nodules and 29 cases of malignant nodules.Among them,13 cases were male,accounting for 25.0% and 39 cases were female,accounting for 75.0%,which was relatively common in women.2.There was no significant difference between benign and malignant thyroid nodules of Bethesda type Ⅲ in gender,age,puncture site and the distribution of the largest diameter of thyroid nodules(P>0.05).3.The distribution of benign and malignant thyroid nodules in the tongue color was different in Bethesda type Ⅲ,the difference was statistically significant(P<0.05),in which the malignant nodules were mostly purple tongue,while the tongue color composition ratio in the benign nodules group was no difference(P>0.05).4.The distribution of benign and malignant thyroid nodules of Bethesda type Ⅲ was the same in fat and thin tongue,pricked tongue and cracked tongue,with no significant difference(P>0.05);the distribution of teeth mark tongue was different,and the difference was statistically significant(P<0.05);among them,teeth mark tongue was more common in malignant nodule,but compared with malignant nodule,the incidence of benign nodule tongue without teeth mark was higher(18/23).5.The distribution of benign and malignant thyroid nodules of Bethesda type Ⅲ was the same in moistening dry moss and partial whole moss,and the difference was not statistically significant(P>0.05);but the difference was statistically significant in thick thin moss and rotten greasy moss(P<0.05);among them,the malignant nodules were mostly thick moss and greasy moss,while the benign nodules were mostly thin moss and non rotten moss.6.The distribution of benign and malignant thyroid nodules of Bethesda type Ⅲ was the same in lichen color,and there was no significant difference(P>0.05).Conclusion:There is a certain relationship between the good and bad nature of Bethesda type Ⅲthyroid nodule and the characteristics of tongue in traditional Chinese medicine: In the aspect of tongue color,malignant nodules are mostly seen in light purple tongue,but there is no difference in the composition ratio of tongue color in benign nodules group;in the aspect of tongue shape,malignant nodules are mostly seen in tooth mark tongue,while benign nodules have higher incidence of no tooth mark tongue;in the aspect of coating quality,malignant nodules are mostly seen in thick coating and greasy coating,while benign nodules are mostly seen in thin coating and no rotten coating.