{"id":944,"date":"2014-10-30T01:20:29","date_gmt":"2014-10-29T22:20:29","guid":{"rendered":"http:\/\/e-endocrinology.gr\/?page_id=944"},"modified":"2015-02-18T15:16:56","modified_gmt":"2015-02-18T12:16:56","slug":"10-19-%ce%bc%ce%bf%ce%bd%ce%ae%cf%81%ce%b7%cf%82-%cf%8c%ce%b6%ce%bf%cf%82-%ce%ba%ce%b1%ce%b9-%cf%80%ce%bf%ce%bb%ce%bb%ce%b1%cf%80%ce%bb%ce%bf%ce%af-%cf%8c%ce%b6%ce%bf%ce%b9","status":"publish","type":"page","link":"https:\/\/e-endocrinology.gr\/?page_id=944","title":{"rendered":"10.19 \u039c\u03bf\u03bd\u03ae\u03c1\u03b7\u03c2 \u03cc\u03b6\u03bf\u03c2 \u03ba\u03b1\u03b9 \u03c0\u03bf\u03bb\u03bb\u03b1\u03c0\u03bb\u03bf\u03af \u03cc\u03b6\u03bf\u03b9"},"content":{"rendered":"<p style=\"text-align: right;\"><div class=\"printfriendly pf-button  pf-alignright\">\n                    <a href=\"https:\/\/e-endocrinology.gr\/?page_id=944&#038;pfstyle=wp\" rel=\"nofollow\" onclick=\"\" title=\"Printer Friendly, PDF & Email\">\n                    <img decoding=\"async\" class=\"pf-button-img\" src=\"https:\/\/cdn.printfriendly.com\/buttons\/printfriendly-pdf-button-nobg.png\" alt=\"Print Friendly, PDF & Email\" style=\"width: 112px;height: 24px;\"  \/>\n                    <\/a>\n                <\/div><\/p>\n<p><br class=\"none\" \/><\/p>\n<p style=\"text-align: right;\"><em>\u0392\u03b1\u03c3\u03b9\u03bb\u03ac\u03c4\u03bf\u03c5 \u0395\u03c5\u03b1\u03b3\u03b3\u03b5\u03bb\u03af\u03bd\u03b1<br \/>\n\u0395\u03bd\u03b4\u03bf\u03ba\u03c1\u03b9\u03bd\u03bf\u03bb\u03cc\u03b3\u03bf\u03c2, \u0395\u03c0\u03b9\u03bc\u03b5\u03bb\u03ae\u03c4\u03c1\u03b9\u03b1 \u0391\u0384, \u0395\u03bd\u03b4\u03bf\u03ba\u03c1\u03b9\u03bd\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u039c\u03bf\u03bd\u03ac\u03b4\u03b1,<br \/>\n\u0392\u0384 \u03a0\u03c1\u03bf\u03c0\u03b1\u03b9\u03b4\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03a0\u03b1\u03b8\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u039a\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae, \u03a0\u03b1\u03bd\u03b5\u03c0\u03b9\u03c3\u03c4\u03b7\u03bc\u03b9\u03b1\u03ba\u03cc \u039d\u03bf\u03c3\u03bf\u03ba\u03bf\u03bc\u03b5\u03af\u03bf \u00ab\u0391\u03a4\u03a4\u0399\u039a\u039f\u039d\u00bb<br \/>\n\u0399\u03c9\u03ac\u03bd\u03bd\u03b1 \u03a4\u03b6\u03b1\u03b2\u03ac\u03c1\u03b1<br \/>\n\u0399\u03c9\u03ac\u03bd\u03bd\u03b1 \u03a4\u03b6\u03b1\u03b2\u03ac\u03c1\u03b1, \u0394\u03b9\u03b5\u03c5\u03b8\u03cd\u03bd\u03c4\u03c1\u03b9\u03b1 \u0395\u03bd\u03b4\u03bf\u03ba\u03c1\u03b9\u03bd\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03bf\u03cd \u03a4\u03bc\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u0393\u03b5\u03bd\u03b9\u03ba\u03bf\u03cd \u039d\u03bf\u03c3\u03bf\u03ba\u03bf\u03bc\u03b5\u03af\u03bf\u03c5 \u00ab\u0391. \u03a6\u039b\u0395\u039c\u0399\u0393\u039a\u00bb<br \/>\n<\/em><\/p>\n<p style=\"text-align: right;\"><b>\u0395\u03b9\u03c2 \u03bc\u03bd\u03ae\u03bc\u03b7\u03bd \u0399. \u03a4\u03b6\u03b1\u03b2\u03ac\u03c1\u03b1<\/b><\/p>\n<p>&nbsp;<\/p>\n<h4 style=\"text-align: justify;\"><b>1. 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\u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1 \u03bc\u03bf\u03bd\u03ae\u03c1\u03bf\u03c5\u03c2 \u03ae \u03c0\u03bf\u03bb\u03bb\u03b1\u03c0\u03bb\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd \u03c3\u03c4\u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc \u03c0\u03b1\u03c1\u03ad\u03b3\u03c7\u03c5\u03bc\u03b1 \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03af\u03b6\u03b5\u03b9 \u03c4\u03b7\u03bd \u03bf\u03b6\u03ce\u03b4\u03b7 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae \u03bd\u03cc\u03c3\u03bf. \u039f\u03b6\u03ce\u03b4\u03b7\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae \u03bd\u03cc\u03c3\u03bf\u03c2 \u03c0\u03b1\u03c1\u03b1\u03c4\u03b7\u03c1\u03b5\u03af\u03c4\u03b1\u03b9 \u03b5\u03af\u03c4\u03b5 \u03c3\u03b5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae \u03b1\u03b4\u03ad\u03bd\u03b1 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03bf\u03cd \u03bc\u03b5\u03b3\u03ad\u03b8\u03bf\u03c5\u03c2 \u03b5\u03af\u03c4\u03b5 \u03c3\u03b5 \u03b4\u03b9\u03bf\u03b3\u03ba\u03c9\u03bc\u03ad\u03bd\u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae \u03b1\u03b4\u03ad\u03bd\u03b1 (\u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7).<b><br \/>\n<\/b><\/p>\n<h4 style=\"text-align: justify;\"><b>2. \u0395\u03c0\u03b9\u03b4\u03b7\u03bc\u03b9\u03bf\u03bb\u03bf\u03b3\u03af\u03b1<\/b><\/h4>\n<p style=\"text-align: justify;\">\u0397 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1 \u03b5\u03c3\u03c4\u03b9\u03b1\u03ba\u03ce\u03bd \u03b2\u03bb\u03b1\u03b2\u03ce\u03bd \u03c3\u03c4\u03bf\u03c5\u03c2 \u03b5\u03bd\u03b4\u03bf\u03ba\u03c1\u03b9\u03bd\u03b5\u03af\u03c2 \u03b1\u03b4\u03ad\u03bd\u03b5\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03c5\u03c7\u03bd\u03ae, \u03bc\u03b5 \u03c0\u03c1\u03ce\u03c4\u03bf \u03c3\u03c4\u03b7\u03bd \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03bf\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae \u03b1\u03b4\u03ad\u03bd\u03b1. \u039f\u03b9 \u03cc\u03b6\u03bf\u03b9 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03c0\u03bf\u03c5 \u03b4\u03b9\u03b1\u03c0\u03b9\u03c3\u03c4\u03ce\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ac \u03ba\u03b1\u03c4\u03ac \u03c4\u03b7\u03bd \u03b1\u03bd\u03c4\u03b9\u03ba\u03b5\u03b9\u03bc\u03b5\u03bd\u03b9\u03ba\u03ae \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03bf\u03cd\u03bd \u03bc\u03b9\u03ba\u03c1\u03cc \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc \u03c4\u03c9\u03bd \u03c5\u03c0\u03b1\u03c1\u03c7\u03cc\u03bd\u03c4\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd, \u03cc\u03c0\u03c9\u03c2 \u03b4\u03b9\u03b1\u03c0\u03b9\u03c3\u03c4\u03ce\u03b8\u03b7\u03ba\u03b5, \u03b1\u03c1\u03c7\u03b9\u03ba\u03ac \u03c3\u03b5 \u03bd\u03b5\u03ba\u03c1\u03bf\u03c4\u03bf\u03bc\u03b9\u03ba\u03ad\u03c2 \u03bc\u03b5\u03bb\u03ad\u03c4\u03b5\u03c2 \u03ba\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd \u03c3\u03c5\u03bd\u03ad\u03c7\u03b5\u03b9\u03b1 \u03bc\u03b5 \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03ad\u03c2 \u03bc\u03b5\u03b8\u03cc\u03b4\u03bf\u03c5\u03c2 (1) \u03ba\u03b1\u03c4\u03ac \u03c4\u03b7\u03bd \u03b4\u03b9\u03ac\u03c1\u03ba\u03b5\u03b9\u03b1 \u03c4\u03bf\u03c5 \u03b5\u03b9\u03ba\u03bf\u03c3\u03c4\u03bf\u03cd \u03b1\u03b9\u03ce\u03bd\u03b1. \u0391\u03c0\u03bf\u03c4\u03b5\u03bb\u03bf\u03cd\u03bd \u03b5\u03c0\u03bf\u03bc\u03ad\u03bd\u03c9\u03c2 \u03c3\u03c5\u03c7\u03bd\u03cc \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1 \u03c3\u03c4\u03b7\u03bd \u03ba\u03b1\u03b8\u03b7\u03bc\u03b5\u03c1\u03b9\u03bd\u03ae \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03c0\u03c1\u03ac\u03be\u03b7, \u03ba\u03c5\u03c1\u03af\u03c9\u03c2 \u03bb\u03cc\u03b3\u03c9 \u03c4\u03b7\u03c2 \u03b1\u03c5\u03be\u03b1\u03bd\u03cc\u03bc\u03b5\u03bd\u03b7\u03c2 \u03c7\u03c1\u03ae\u03c3\u03b7\u03c2 \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03ce\u03bd \u03b5\u03be\u03b5\u03c4\u03ac\u03c3\u03b5\u03c9\u03bd \u03ba\u03b1\u03b9 \u03c4\u03b7\u03c2 \u03c3\u03c5\u03bd\u03b5\u03c7\u03bf\u03cd\u03c2 \u03c4\u03b5\u03c7\u03bd\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae\u03c2 \u03b2\u03b5\u03bb\u03c4\u03af\u03c9\u03c3\u03b7\u03c2 \u03c4\u03c9\u03bd \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03ce\u03bd \u03bc\u03b5\u03b8\u03cc\u03b4\u03c9\u03bd.<\/p>\n<p style=\"text-align: justify;\">\u039f\u03b9 \u03cc\u03b6\u03bf\u03b9 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b5\u03c1\u03bf\u03b9 \u03c3\u03c4\u03b9\u03c2 \u03b3\u03c5\u03bd\u03b1\u03af\u03ba\u03b5\u03c2 \u03ba\u03b1\u03b9 \u03c3\u03c4\u03bf\u03c5\u03c2 \u03b7\u03bb\u03b9\u03ba\u03b9\u03c9\u03bc\u03ad\u03bd\u03bf\u03c5\u03c2 (2). \u0395\u03c0\u03af\u03c3\u03b7\u03c2, \u03bf\u03b9 \u03cc\u03b6\u03bf\u03b9 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b5\u03c1\u03bf\u03b9 \u03c3\u03b5 \u03b3\u03b5\u03c9\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ad\u03c2 \u03bc\u03b5 \u03b9\u03c9\u03b4\u03bf\u03c0\u03b5\u03bd\u03af\u03b1 (2). \u0395\u03c0\u03bf\u03bc\u03ad\u03bd\u03c9\u03c2 \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03bc\u03b5\u03b3\u03ac\u03bb\u03b7 \u03b4\u03b9\u03b1\u03ba\u03cd\u03bc\u03b1\u03bd\u03c3\u03b7 \u03c3\u03c4\u03b7\u03bd \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03c3\u03c4\u03b9\u03c2 \u03b4\u03b9\u03ac\u03c6\u03bf\u03c1\u03b5\u03c2 \u03bc\u03b5\u03bb\u03ad\u03c4\u03b5\u03c2 \u03b1\u03bd\u03ac\u03bb\u03bf\u03b3\u03b1 \u03bc\u03b5 \u03c4\u03bf\u03bd \u03c0\u03bb\u03b7\u03b8\u03c5\u03c3\u03bc\u03cc \u03c4\u03b7\u03c2 \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7\u03c2 (\u03b7\u03bb\u03b9\u03ba\u03af\u03b1, \u03c6\u03cd\u03bb\u03bf, \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5) \u03ba\u03b1\u03b9 \u03c4\u03b7\u03bd \u03bc\u03ad\u03b8\u03bf\u03b4\u03bf \u03b1\u03bd\u03af\u03c7\u03bd\u03b5\u03c5\u03c3\u03b7\u03c2 \u03c4\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd (\u03c8\u03b7\u03bb\u03ac\u03c6\u03b7\u03c3\u03b7, \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03ad\u03c2 \u03bc\u03ad\u03b8\u03bf\u03b4\u03bf\u03b9). \u03a3\u03b5 \u03b3\u03b5\u03c9\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ad\u03c2 \u03bc\u03b5 \u03b5\u03c0\u03ac\u03c1\u03ba\u03b5\u03b9\u03b1 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 \u03b7 \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03c9\u03c2 \u03c8\u03b7\u03bb\u03b1\u03c6\u03b7\u03c4\u03b9\u03ba\u03cc \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1 \u03ba\u03c5\u03bc\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc 3-7%, \u03c9\u03c2 \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1 \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03bf\u03cd \u03b5\u03bb\u03ad\u03b3\u03c7\u03bf\u03c5 \u03c3\u03b5 \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc 19-67% \u03c3\u03b5 \u03bc\u03b7 \u03b5\u03c0\u03b9\u03bb\u03b5\u03b3\u03bc\u03ad\u03bd\u03bf \u03c0\u03bb\u03b7\u03b8\u03c5\u03c3\u03bc\u03cc (3-7), \u03b5\u03bd\u03ce \u03c9\u03c2 \u03bd\u03b5\u03ba\u03c1\u03bf\u03c4\u03bf\u03bc\u03b9\u03ba\u03cc \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03b5\u03c1\u03af\u03c0\u03bf\u03c5 50% (2,8). \u0397 \u03b4\u03b5 \u03b5\u03c4\u03ae\u03c3\u03b9\u03b1 \u03b5\u03c0\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03c4\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03c3\u03c4\u03b9\u03c2 \u0397\u03bd\u03c9\u03bc\u03ad\u03bd\u03b5\u03c2 \u03a0\u03bf\u03bb\u03b9\u03c4\u03b5\u03af\u03b5\u03c2, \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ae \u03bc\u03b5 \u03b5\u03c0\u03ac\u03c1\u03ba\u03b5\u03b9\u03b1 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5, \u03b5\u03ba\u03c4\u03b9\u03bc\u03ac\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf 0,1 % (2,9).<\/p>\n<h4 style=\"text-align: justify;\"><b>3. \u0394\u03b9\u03b1\u03c6\u03bf\u03c1\u03b9\u03ba\u03ae \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7<\/b><\/h4>\n<p style=\"text-align: justify;\">\u0397 \u03b4\u03b9\u03b1\u03c0\u03af\u03c3\u03c4\u03c9\u03c3\u03b7 \u03c8\u03b7\u03bb\u03b1\u03c6\u03b7\u03c4\u03ae\u03c2 \u03c4\u03c1\u03b1\u03c7\u03b7\u03bb\u03b9\u03ba\u03ae\u03c2 \u03b4\u03b9\u03cc\u03b3\u03ba\u03c9\u03c3\u03b7\u03c2 \u03c3\u03c4\u03b7\u03bd \u03b1\u03bd\u03b1\u03c4\u03bf\u03bc\u03b9\u03ba\u03ae \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ae \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03c3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03b1\u03c6\u03bf\u03c1\u03ac \u03ba\u03bf\u03bb\u03bb\u03bf\u03b5\u03b9\u03b4\u03ae \u03cc\u03b6\u03bf, \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae \u03ba\u03cd\u03c3\u03c4\u03b7, \u03b5\u03c3\u03c4\u03b9\u03b1\u03ba\u03ae \u03c6\u03bb\u03b5\u03b3\u03bc\u03bf\u03bd\u03ae \u03ae \u03b5\u03c3\u03c4\u03b9\u03b1\u03ba\u03ae \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03af\u03c4\u03b9\u03b4\u03b1 (~80% \u03c4\u03c9\u03bd \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03c9\u03bd) (1,9). \u03a3\u03c0\u03b1\u03bd\u03b9\u03ce\u03c4\u03b5\u03c1\u03b1 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b1\u03c6\u03bf\u03c1\u03ac \u03ad\u03bd\u03b1 \u03ba\u03b1\u03bb\u03cc\u03b7\u03b8\u03b5\u03c2 \u03b8\u03c5\u03bb\u03b1\u03ba\u03b9\u03bf\u03ba\u03c5\u03c4\u03c4\u03b1\u03c1\u03b9\u03ba\u03cc \u03bd\u03b5\u03cc\u03c0\u03bb\u03b1\u03c3\u03bc\u03b1. (10-15% \u03c4\u03c9\u03bd \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03c9\u03bd) (1,2,9). \u03a3\u03b5 \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc ~5% \u03c4\u03c9\u03bd \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03c9\u03bd \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b1\u03c6\u03bf\u03c1\u03ac \u03ad\u03bd\u03b1 \u03c0\u03c1\u03c9\u03c4\u03bf\u03c0\u03b1\u03b8\u03ad\u03c2 \u03ba\u03b1\u03ba\u03cc\u03b7\u03b8\u03b5\u03c2 \u03bd\u03b5\u03cc\u03c0\u03bb\u03b1\u03c3\u03bc\u03b1 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 (1,2,9,10), \u03c3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03b8\u03c5\u03bb\u03b1\u03ba\u03b9\u03bf\u03ba\u03c5\u03c4\u03c4\u03b1\u03c1\u03b9\u03ba\u03cc \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03c9\u03bc\u03b1 \u03ba\u03b1\u03b9 \u03c3\u03c0\u03b1\u03bd\u03b9\u03ce\u03c4\u03b5\u03c1\u03b1 \u03bc\u03c5\u03b5\u03bb\u03bf\u03b5\u03b9\u03b4\u03ad\u03c2 \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03c9\u03bc\u03b1, \u03b1\u03bd\u03b1\u03c0\u03bb\u03b1\u03c3\u03c4\u03b9\u03ba\u03cc \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03c9\u03bc\u03b1, \u03c0\u03c1\u03c9\u03c4\u03bf\u03c0\u03b1\u03b8\u03ad\u03c2 \u03bb\u03ad\u03bc\u03c6\u03c9\u03bc\u03b1 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03ae \u03c3\u03ac\u03c1\u03ba\u03c9\u03bc\u03b1 (10). \u03a3\u03c0\u03b1\u03bd\u03af\u03c9\u03c2 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03c0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03bc\u03b5\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7 \u03c3\u03c4\u03bf\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae \u03b1\u03b4\u03ad\u03bd\u03b1, \u03cc\u03c0\u03bf\u03c5 \u03c3\u03c4\u03b7\u03bd \u03c0\u03bb\u03b5\u03b9\u03bf\u03c8\u03b7\u03c6\u03af\u03b1 \u03c4\u03c9\u03bd \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03c9\u03bd \u03b7 \u03c0\u03c1\u03c9\u03c4\u03bf\u03c0\u03b1\u03b8\u03ae\u03c2 \u03b5\u03c3\u03c4\u03af\u03b1 \u03ad\u03c7\u03b5\u03b9 \u03ae\u03b4\u03b7 \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b5\u03af (10). \u03a4\u03ad\u03bb\u03bf\u03c2, \u03ad\u03c7\u03bf\u03c5\u03bd \u03c0\u03b5\u03c1\u03b9\u03b3\u03c1\u03b1\u03c6\u03b5\u03af \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03c3\u03c4\u03b9\u03c2 \u03bf\u03c0\u03bf\u03af\u03b5\u03c2 \u03b7 \u03c4\u03c1\u03b1\u03c7\u03b7\u03bb\u03b9\u03ba\u03ae \u03b4\u03b9\u03cc\u03b3\u03ba\u03c9\u03c3\u03b7 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b1\u03c6\u03bf\u03c1\u03ac \u03b4\u03b9\u03cc\u03b3\u03ba\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03c5\u03c0\u03ac\u03c1\u03c7\u03bf\u03bd\u03c4\u03bf\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03bb\u03bf\u03b2\u03bf\u03cd \u03c3\u03b5 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03b7\u03bc\u03b9\u03b1\u03b3\u03b5\u03bd\u03b5\u03c3\u03af\u03b1\u03c2 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03ae \u03bd\u03b1 \u03c0\u03c1\u03bf\u03ad\u03c1\u03c7\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03bf\u03c5\u03c2 \u03c0\u03b1\u03c1\u03b1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b5\u03af\u03c2 \u03b1\u03b4\u03ad\u03bd\u03b5\u03c2 (\u03b1\u03b4\u03ad\u03bd\u03c9\u03bc\u03b1 \u03c0\u03b1\u03c1\u03b1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ce\u03bd \u03ae \u03ba\u03cd\u03c3\u03c4\u03b7 \u03ba\u03b1\u03b9 \u03c0\u03bf\u03bb\u03cd \u03c3\u03c0\u03ac\u03bd\u03b9\u03b1 \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03c9\u03bc\u03b1 \u03c0\u03b1\u03c1\u03b1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ce\u03bd) (11).<\/p>\n<h4 style=\"text-align: justify;\"><b>4. \u039a\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1<\/b><\/h4>\n<p style=\"text-align: justify;\">\u039f\u03b9 \u03cc\u03b6\u03bf\u03b9 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03c3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03b5\u03ba\u03b4\u03b7\u03bb\u03ce\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c9\u03c2 \u03b1\u03c3\u03c5\u03bc\u03c0\u03c4\u03c9\u03bc\u03b1\u03c4\u03b9\u03ba\u03ae \u03c4\u03c1\u03b1\u03c7\u03b7\u03bb\u03b9\u03ba\u03ae \u03b4\u03b9\u03cc\u03b3\u03ba\u03c9\u03c3\u03b7 \u03c3\u03c4\u03b7\u03bd \u03b1\u03bd\u03b1\u03c4\u03bf\u03bc\u03b9\u03ba\u03ae \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ae \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2, \u03b7 \u03bf\u03c0\u03bf\u03af\u03b1 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b3\u03af\u03bd\u03b5\u03b9 \u03b1\u03bd\u03c4\u03b9\u03bb\u03b7\u03c0\u03c4\u03ae \u03b1\u03c0\u03cc \u03c4\u03bf\u03bd \u03af\u03b4\u03b9\u03bf \u03c4\u03bf\u03bd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae \u03ae\/\u03ba\u03b1\u03b9 \u03bd\u03b1 \u03b4\u03b9\u03b1\u03c0\u03b9\u03c3\u03c4\u03c9\u03b8\u03b5\u03af \u03b1\u03c0\u03cc \u03c4\u03bf\u03bd \u03b9\u03b1\u03c4\u03c1\u03cc \u03ba\u03b1\u03c4\u03ac \u03c4\u03b7\u03bd \u03b1\u03bd\u03c4\u03b9\u03ba\u03b5\u03b9\u03bc\u03b5\u03bd\u03b9\u03ba\u03ae \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 (<b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1, \u0395\u03b9\u03ba\u03cc\u03bd\u03b1 2<\/b>). \u03a9\u03c3\u03c4\u03cc\u03c3\u03bf, \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03c0\u03bb\u03b7\u03b8\u03ce\u03c1\u03b1 \u03bc\u03b5\u03bb\u03b5\u03c4\u03ce\u03bd \u03c0\u03bf\u03c5 \u03ad\u03c7\u03bf\u03c5\u03bd \u03b4\u03b5\u03af\u03be\u03b5\u03b9 \u03cc\u03c4\u03b9 \u03b7 \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03c4\u03b7\u03bd \u03bb\u03b9\u03b3\u03ce\u03c4\u03b5\u03c1\u03bf \u03b5\u03c5\u03b1\u03af\u03c3\u03b8\u03b7\u03c4\u03b7 \u03bc\u03ad\u03b8\u03bf\u03b4\u03bf \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b1\u03bd\u03af\u03c7\u03bd\u03b5\u03c5\u03c3\u03b7 \u03c4\u03c9\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd (1, 8, 9). \u038c\u03b6\u03bf\u03b9 \u03b4\u03b9\u03b1\u03bc\u03ad\u03c4\u03c1\u03bf\u03c5 \u03bc\u03b9\u03ba\u03c1\u03cc\u03c4\u03b5\u03c1\u03bf\u03b9 \u03b1\u03c0\u03cc 1,0cm \u03ba\u03b1\u03b8\u03ce\u03c2 \u03ba\u03b1\u03b9 \u03cc\u03b6\u03bf\u03b9 \u03c0\u03bf\u03c5 \u03c0\u03c1\u03bf\u03b2\u03ac\u03bb\u03bb\u03bf\u03c5\u03bd \u03c3\u03c4\u03b7\u03bd \u03bf\u03c0\u03af\u03c3\u03b8\u03b9\u03b1 \u03b5\u03c0\u03b9\u03c6\u03ac\u03bd\u03b5\u03b9\u03b1 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03b4\u03b5\u03bd \u03c8\u03b7\u03bb\u03b1\u03c6\u03ce\u03bd\u03c4\u03b1\u03b9 (10). \u0395\u03c0\u03af\u03c3\u03b7\u03c2, \u03ad\u03c7\u03b5\u03b9 \u03b4\u03b5\u03b9\u03c7\u03b8\u03b5\u03af \u03cc\u03c4\u03b9 \u03c3\u03b5 \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc 20-48% \u03c4\u03c9\u03bd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd \u03bc\u03b5 \u03c8\u03b7\u03bb\u03b1\u03c6\u03b7\u03c4\u03bf\u03cd\u03c2 \u03cc\u03b6\u03bf\u03c5\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03b4\u03b9\u03b1\u03c0\u03b9\u03c3\u03c4\u03ce\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b5\u03c0\u03b9\u03c0\u03bb\u03ad\u03bf\u03bd \u03cc\u03b6\u03bf\u03b9, \u03c3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03bc\u03b9\u03ba\u03c1\u03cc\u03c4\u03b5\u03c1\u03bf\u03b9, \u03ba\u03b1\u03c4\u03ac \u03c4\u03bf\u03bd \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03cc \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf (2, 6). \u0395\u03c0\u03b9\u03c0\u03bb\u03ad\u03bf\u03bd, \u03ad\u03c7\u03b5\u03b9 \u03b4\u03b5\u03b9\u03c7\u03b8\u03b5\u03af \u03cc\u03c4\u03b9 \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03bc\u03b5\u03b3\u03ac\u03bb\u03b7 \u03b4\u03b9\u03b1\u03ba\u03cd\u03bc\u03b1\u03bd\u03c3\u03b7 \u03c3\u03c4\u03b7\u03bd \u03b1\u03bd\u03af\u03c7\u03bd\u03b5\u03c5\u03c3\u03b7 \u03cc\u03b6\u03c9\u03bd \u03bc\u03b5 \u03c4\u03b7\u03bd \u03c8\u03b7\u03bb\u03ac\u03c6\u03b7\u03c3\u03b7 \u03bc\u03b5\u03c4\u03b1\u03be\u03cd \u03c4\u03c9\u03bd \u03b5\u03be\u03b5\u03c4\u03b1\u03c3\u03c4\u03ce\u03bd (13) \u03b1\u03bb\u03bb\u03ac \u03ba\u03b1\u03b9 \u03c3\u03c4\u03bf\u03bd \u03af\u03b4\u03b9\u03bf \u03b5\u03be\u03b5\u03c4\u03b1\u03c3\u03c4\u03ae \u03c3\u03b5 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03b5\u03c4\u03b9\u03ba\u03ad\u03c2 \u03c7\u03c1\u03bf\u03bd\u03b9\u03ba\u03ad\u03c2 \u03c3\u03c4\u03b9\u03b3\u03bc\u03ad\u03c2.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-949\" alt=\"10.19-figure1\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure1.jpg\" width=\"650\" height=\"241\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure1.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure1-300x111.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure1-624x231.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p style=\"text-align: justify;\"><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.<\/b><\/em> \u0395\u03c5\u03bc\u03b5\u03b3\u03ad\u03b8\u03b7\u03c2 \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03b7\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7 \u03c3\u03b5 \u03b3\u03c5\u03bd\u03b1\u03af\u03ba\u03b1 \u03bc\u03ad\u03c3\u03b7\u03c2 \u03b7\u03bb\u03b9\u03ba\u03af\u03b1\u03c2 (F + P).<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><b>\u00a0<img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-950\" alt=\"10.19-figure2\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure2.jpg\" width=\"500\" height=\"482\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure2.jpg 500w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure2-300x289.jpg 300w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><\/b><\/p>\n<p style=\"text-align: justify;\"><b><em>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 2<\/em>.<\/b> \u0395\u03c5\u03bc\u03b5\u03b3\u03ad\u03b8\u03b7\u03c2 \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03b7\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7 \u03c3\u03b5 \u03ac\u03bd\u03b4\u03c1\u03b1 \u03bc\u03ad\u03c3\u03b7\u03c2 \u03b7\u03bb\u03b9\u03ba\u03af\u03b1\u03c2.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\">\u0397 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1 \u03b5\u03c0\u03ce\u03b4\u03c5\u03bd\u03b7\u03c2 \u03c4\u03c1\u03b1\u03c7\u03b7\u03bb\u03b9\u03ba\u03ae\u03c2 \u03b4\u03b9\u03cc\u03b3\u03ba\u03c9\u03c3\u03b7\u03c2 \u03b8\u03ad\u03c4\u03b5\u03b9 \u03c4\u03b7\u03bd \u03c5\u03c0\u03cc\u03bd\u03bf\u03b9\u03b1 \u03b1\u03b9\u03bc\u03bf\u03c1\u03c1\u03b1\u03b3\u03af\u03b1\u03c2 \u03c3\u03c4\u03bf \u03b5\u03c3\u03c9\u03c4\u03b5\u03c1\u03b9\u03ba\u03cc \u03ba\u03cd\u03c3\u03c4\u03b7\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03ae \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03af\u03c4\u03b9\u03b4\u03bf\u03c2 \u03b5\u03af\u03c4\u03b5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03b1\u03c0\u03bf\u03c3\u03c4\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2. \u03a0\u03b9\u03b5\u03c3\u03c4\u03b9\u03ba\u03ac \u03c6\u03b1\u03b9\u03bd\u03cc\u03bc\u03b5\u03bd\u03b1 \u03b1\u03c0\u03cc \u03c4\u03bf \u03b1\u03bd\u03ce\u03c4\u03b5\u03c1\u03bf \u03b1\u03bd\u03b1\u03c0\u03bd\u03b5\u03c5\u03c3\u03c4\u03b9\u03ba\u03cc, \u03b2\u03c1\u03ac\u03b3\u03c7\u03bf\u03c2 \u03c6\u03c9\u03bd\u03ae\u03c2 \u03ae\/\u03ba\u03b1\u03b9 \u03b4\u03c5\u03c3\u03ba\u03b1\u03c4\u03b1\u03c0\u03bf\u03c3\u03af\u03b1 \u03b8\u03ad\u03c4\u03bf\u03c5\u03bd \u03c4\u03b7\u03bd \u03c5\u03c0\u03cc\u03bd\u03bf\u03b9\u03b1 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03bf\u03c5\u03c2 \u03b5\u03be\u03b5\u03c1\u03b3\u03b1\u03c3\u03af\u03b1\u03c2, \u03b9\u03b4\u03af\u03c9\u03c2 \u03b1\u03bd \u03c3\u03c5\u03bd\u03b4\u03c5\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03c4\u03b1\u03c7\u03b5\u03af\u03b1 \u03b1\u03cd\u03be\u03b7\u03c3\u03b7 \u03b1\u03bd\u03ce\u03b4\u03c5\u03bd\u03b7\u03c2 \u03c3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03c4\u03c1\u03b1\u03c7\u03b7\u03bb\u03b9\u03ba\u03ae\u03c2 \u03b4\u03b9\u03cc\u03b3\u03ba\u03c9\u03c3\u03b7\u03c2. \u03a9\u03c3\u03c4\u03cc\u03c3\u03bf, \u03c0\u03b9\u03b5\u03c3\u03c4\u03b9\u03ba\u03ac \u03c6\u03b1\u03b9\u03bd\u03cc\u03bc\u03b5\u03bd\u03b1 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03c0\u03b1\u03c1\u03b1\u03c4\u03b7\u03c1\u03b7\u03b8\u03bf\u03cd\u03bd \u03ba\u03b1\u03b9 \u03c3\u03b5 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03b5\u03c5\u03bc\u03b5\u03b3\u03ad\u03b8\u03bf\u03c5\u03c2 \u03bf\u03b6\u03ce\u03b4\u03bf\u03c5\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7\u03c2, \u03b9\u03b4\u03af\u03c9\u03c2 \u03b1\u03bd \u03b1\u03c5\u03c4\u03ae \u03ba\u03b1\u03c4\u03b1\u03b4\u03cd\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd \u03b8\u03c9\u03c1\u03b1\u03ba\u03b9\u03ba\u03ae \u03ba\u03bf\u03b9\u03bb\u03cc\u03c4\u03b7\u03c4\u03b1 (10).<\/p>\n<p style=\"text-align: justify;\">\u0397 \u03b4\u03b9\u03b1\u03c0\u03af\u03c3\u03c4\u03c9\u03c3\u03b7 \u03c4\u03c1\u03b1\u03c7\u03b7\u03bb\u03b9\u03ba\u03ae\u03c2 \u03b4\u03b9\u03cc\u03b3\u03ba\u03c9\u03c3\u03b7\u03c2 \u03bc\u03b5\u03c1\u03b9\u03ba\u03ce\u03c2 \u03ae \u03c0\u03bb\u03ae\u03c1\u03c9\u03c2 \u03ba\u03b1\u03b8\u03b7\u03bb\u03c9\u03bc\u03ad\u03bd\u03b7\u03c2 \u03c3\u03c4\u03b9\u03c2 \u03b3\u03b5\u03b9\u03c4\u03bf\u03bd\u03b9\u03ba\u03ad\u03c2 \u03b1\u03bd\u03b1\u03c4\u03bf\u03bc\u03b9\u03ba\u03ad\u03c2 \u03b4\u03bf\u03bc\u03ad\u03c2 \u03ba\u03b1\u03b8\u03ce\u03c2 \u03ba\u03b1\u03b9 \u03b7 \u03c0\u03bf\u03bb\u03cd \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7 \u03c3\u03cd\u03c3\u03c4\u03b1\u03c3\u03b7 \u03ae \u03c3\u03ba\u03bb\u03b7\u03c1\u03af\u03b1 \u03b1\u03c5\u03c4\u03ae\u03c2 \u03b8\u03ad\u03c4\u03bf\u03c5\u03bd \u03c4\u03b7\u03bd \u03c5\u03c0\u03cc\u03bd\u03bf\u03b9\u03b1 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03bf\u03c5\u03c2 \u03b5\u03be\u03b5\u03c1\u03b3\u03b1\u03c3\u03af\u03b1\u03c2. \u0395\u03c0\u03af\u03c3\u03b7\u03c2, \u03b7 \u03b4\u03b9\u03b1\u03c0\u03af\u03c3\u03c4\u03c9\u03c3\u03b7 \u03c8\u03b7\u03bb\u03b1\u03c6\u03b7\u03c4\u03ce\u03bd \u03c4\u03c1\u03b1\u03c7\u03b7\u03bb\u03b9\u03ba\u03ce\u03bd \u03bb\u03b5\u03bc\u03c6\u03b1\u03b4\u03b5\u03bd\u03b9\u03ba\u03ce\u03bd \u03b4\u03b9\u03bf\u03b3\u03ba\u03ce\u03c3\u03b5\u03c9\u03bd, \u03b5\u03af\u03c4\u03b5 \u03bf\u03bc\u03cc\u03c0\u03bb\u03b5\u03c5\u03c1\u03b1 \u03bc\u03b5 \u03c4\u03bf\u03bd \u03c8\u03b7\u03bb\u03b1\u03c6\u03ce\u03bc\u03b5\u03bd\u03bf \u03cc\u03b6\u03bf \u03b5\u03af\u03c4\u03b5 \u03b1\u03bc\u03c6\u03bf\u03c4\u03b5\u03c1\u03cc\u03c0\u03bb\u03b5\u03c5\u03c1\u03b1, \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03ad\u03bc\u03bc\u03b5\u03c3\u03b7 \u03ad\u03bd\u03b4\u03b5\u03b9\u03be\u03b7 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03bf\u03c5\u03c2 \u03b5\u03be\u03b5\u03c1\u03b3\u03b1\u03c3\u03af\u03b1\u03c2 (10).<\/p>\n<p style=\"text-align: justify;\">\u03a3\u03b5 \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03c0\u03bf\u03c5 \u03bf\u03b9 \u03cc\u03b6\u03bf\u03b9 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03c3\u03c5\u03bd\u03b4\u03c5\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03b4\u03b9\u03b1\u03c4\u03b1\u03c1\u03b1\u03c7\u03ae \u03c4\u03b7\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae\u03c2 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03af\u03b1\u03c2 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bf \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae\u03c2 \u03bd\u03b1 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b5\u03b9 \u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1 \u03c5\u03c0\u03b5\u03c1- \u03ae \u03c5\u03c0\u03bf\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03bf\u03cd \u03ba\u03b1\u03b9 \u03ba\u03b1\u03c4\u03ac \u03c4\u03b7\u03bd \u03b1\u03bd\u03c4\u03b9\u03ba\u03b5\u03b9\u03bc\u03b5\u03bd\u03b9\u03ba\u03ae \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 \u03bd\u03b1 \u03b4\u03b9\u03b1\u03c0\u03b9\u03c3\u03c4\u03ce\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03b7\u03bc\u03b5\u03af\u03b1 \u03c5\u03c0\u03b5\u03c1- \u03ae \u03c5\u03c0\u03bf\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03bf\u03cd, \u03b1\u03bd\u03c4\u03b9\u03c3\u03c4\u03bf\u03af\u03c7\u03c9\u03c2.<\/p>\n<h4 style=\"text-align: justify;\"><b>5. \u0398\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ac \u03c4\u03c5\u03c7\u03b1\u03b9\u03ce\u03bc\u03b1\u03c4\u03b1 (<\/b><b>incidentalomas<\/b><b>)<\/b><\/h4>\n<p style=\"text-align: justify;\">\u0398\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc \u03c4\u03c5\u03c7\u03b1\u03af\u03c9\u03bc\u03b1 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03ba\u03ac\u03b8\u03b5 \u03bc\u03b7 \u03c8\u03b7\u03bb\u03b1\u03c6\u03b7\u03c4\u03cc\u03c2 \u03cc\u03b6\u03bf\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2, \u03c4\u03bf\u03c5 \u03bf\u03c0\u03bf\u03af\u03bf\u03c5 \u03b7 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1 \u03b1\u03c0\u03bf\u03ba\u03b1\u03bb\u03cd\u03c0\u03c4\u03b5\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03cc \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03b5\u03af\u03c4\u03b5 \u03c3\u03c4\u03b7\u03bd \u03b9\u03c3\u03c4\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03c0\u03b1\u03c1\u03b1\u03ba\u03b5\u03c5\u03ac\u03c3\u03bc\u03b1\u03c4\u03bf\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b5\u03ba\u03c4\u03bf\u03bc\u03ae\u03c2 \u03ae \u03c3\u03b5 \u03bd\u03b5\u03ba\u03c1\u03bf\u03c4\u03bf\u03bc\u03b9\u03ba\u03cc \u03c5\u03bb\u03b9\u03ba\u03cc (12).<\/p>\n<p style=\"text-align: justify;\">\u03a4\u03bf \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03c4\u03b7\u03bd \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b5\u03c1\u03b7 \u03bc\u03ad\u03b8\u03bf\u03b4\u03bf \u03b1\u03bd\u03af\u03c7\u03bd\u03b5\u03c5\u03c3\u03b7\u03c2 \u03c4\u03c9\u03bd \u03c4\u03c5\u03c7\u03b1\u03af\u03c9\u03c2 \u03b4\u03b9\u03b1\u03c0\u03b9\u03c3\u03c4\u03bf\u03cd\u03bc\u03b5\u03bd\u03c9\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd, \u03b4\u03b5\u03b4\u03bf\u03bc\u03ad\u03bd\u03b7\u03c2 \u03c4\u03b7\u03c2 \u03bf\u03bb\u03bf\u03ad\u03bd\u03b1 \u03b1\u03c5\u03be\u03b1\u03bd\u03cc\u03bc\u03b5\u03bd\u03b7\u03c2 \u03b5\u03c6\u03b1\u03c1\u03bc\u03bf\u03b3\u03ae\u03c2 \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03bf\u03cd \u03b5\u03bb\u03ad\u03b3\u03c7\u03bf\u03c5, \u03c4\u03b7\u03c2 \u03c5\u03c8\u03b7\u03bb\u03ae\u03c2 \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1\u03c2 \u03ba\u03b1\u03b9 \u03b5\u03b9\u03b4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2 \u03c4\u03b7\u03c2 \u03bc\u03b5\u03b8\u03cc\u03b4\u03bf\u03c5 \u03c3\u03c4\u03b7\u03bd \u03b1\u03bd\u03af\u03c7\u03bd\u03b5\u03c5\u03c3\u03b7 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd \u03ba\u03b1\u03b9 \u03c4\u03b7\u03c2 \u03c3\u03c5\u03bd\u03b5\u03c7\u03bf\u03cd\u03c2 \u03c4\u03b5\u03c7\u03bd\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae\u03c2 \u03b5\u03be\u03ad\u03bb\u03b9\u03be\u03b7\u03c2 \u03c4\u03c9\u03bd \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03ac\u03c6\u03c9\u03bd (14). \u0391\u03ba\u03bf\u03bb\u03bf\u03c5\u03b8\u03bf\u03cd\u03bd \u03b1\u03c0\u03cc \u03c0\u03bb\u03b5\u03c5\u03c1\u03ac\u03c2 \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2 \u03ac\u03bb\u03bb\u03b5\u03c2 \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03ad\u03c2 \u03bc\u03ad\u03b8\u03bf\u03b4\u03bf\u03b9, \u03bc\u03b5 \u03c4\u03b5\u03bb\u03b5\u03c5\u03c4\u03b1\u03af\u03b1 \u03c4\u03b7\u03bd \u03c4\u03bf\u03bc\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1 \u03b5\u03ba\u03c0\u03bf\u03bc\u03c0\u03ae\u03c2 \u03c0\u03bf\u03b6\u03b9\u03c4\u03c1\u03bf\u03bd\u03af\u03c9\u03bd (positron emission tomography, PET) \u03bc\u03b5 \u03b4\u03b5\u03c3\u03bf\u03be\u03c5-\u03b4\u03b9\u03c6\u03b8\u03bf\u03c1\u03bf-\u03b3\u03bb\u03c5\u03ba\u03cc\u03b6\u03b7 (2-deoxy-2(<sup>18<\/sup>F)fluoro-D-glucose, <sup>18<\/sup>FDG). \u0397 \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b1\u03bd\u03b5\u03cd\u03c1\u03b5\u03c3\u03b7\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ce\u03bd \u03c4\u03c5\u03c7\u03b1\u03b9\u03c9\u03bc\u03ac\u03c4\u03c9\u03bd \u03bc\u03b5 PET-scan, \u03c9\u03c2 \u03b5\u03c3\u03c4\u03b9\u03b1\u03ba\u03ae \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c3\u03c4\u03bf\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae, \u03b5\u03ba\u03c4\u03b9\u03bc\u03ac\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc ~2% \u03c4\u03c9\u03bd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd \u03c0\u03bf\u03c5 \u03c5\u03c0\u03bf\u03b2\u03ac\u03bb\u03bb\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd \u03b1\u03bd\u03c9\u03c4\u03ad\u03c1\u03c9 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7. \u03a3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03cc \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc (27 &#8211; 42%) \u03c4\u03c9\u03bd \u03c4\u03c5\u03c7\u03b1\u03b9\u03c9\u03bc\u03ac\u03c4\u03c9\u03bd \u03b1\u03c5\u03c4\u03ce\u03bd \u03b1\u03c6\u03bf\u03c1\u03bf\u03cd\u03bd \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2, \u03bc\u03b5 \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b5\u03c1\u03bf \u03b9\u03c3\u03c4\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03cc \u03c4\u03cd\u03c0\u03bf \u03c4\u03bf \u03b8\u03b7\u03bb\u03ce\u03b4\u03b5\u03c2 \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03c9\u03bc\u03b1 (15,16).<\/p>\n<h4 style=\"text-align: justify;\"><b>6. \u0394\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ae \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7<\/b><\/h4>\n<p style=\"text-align: justify;\">\u0397 \u03b4\u03b9\u03b1\u03c0\u03af\u03c3\u03c4\u03c9\u03c3\u03b7 \u03b5\u03bd\u03cc\u03c2 \u03ae \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03bf\u03c4\u03ad\u03c1\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03c3\u03b5 \u03ad\u03bd\u03b1\u03bd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae \u03b5\u03af\u03c4\u03b5 \u03ba\u03b1\u03c4\u03ac \u03c4\u03b7\u03bd \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 \u03b5\u03af\u03c4\u03b5 \u03bc\u03b5 \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03ad\u03c2 \u03bc\u03b5\u03b8\u03cc\u03b4\u03bf\u03c5\u03c2, \u03b8\u03ad\u03c4\u03b5\u03b9 \u03b4\u03cd\u03bf \u03b5\u03c1\u03c9\u03c4\u03ae\u03bc\u03b1\u03c4\u03b1 \u03c3\u03c4\u03bf\u03bd \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03cc \u03b9\u03b1\u03c4\u03c1\u03cc. \u03a4\u03bf \u03ad\u03bd\u03b1 \u03b1\u03c6\u03bf\u03c1\u03ac \u03c3\u03c4\u03b7\u03bd \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03b4\u03c1\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03bf\u03c5 \u03ae \u03c4\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd \u03ba\u03b1\u03b9 \u03ba\u03b1\u03c4\u2019 \u03b5\u03c0\u03ad\u03ba\u03c4\u03b1\u03c3\u03b7 \u03c4\u03bf \u03b5\u03bd\u03b4\u03b5\u03c7\u03cc\u03bc\u03b5\u03bd\u03bf \u03b7 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1 \u03c4\u03bf\u03c5\u03c2 \u03bd\u03b1 \u03b5\u03c0\u03b7\u03c1\u03c1\u03b5\u03ac\u03b6\u03b5\u03b9 \u03c4\u03b7\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03af\u03b1 \u03ba\u03b1\u03b9 \u03c4\u03bf \u03ac\u03bb\u03bb\u03bf \u03b1\u03c6\u03bf\u03c1\u03ac \u03c3\u03c4\u03bf \u03b5\u03bd\u03b4\u03b5\u03c7\u03cc\u03bc\u03b5\u03bd\u03bf \u03ba\u03b1\u03ba\u03bf\u03b7\u03b8\u03b5\u03af\u03b1\u03c2.<\/p>\n<h5 style=\"text-align: justify;\"><b>6.1. \u0394\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae\u03c2 \u03b4\u03c1\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2<\/b><\/h5>\n<p style=\"text-align: justify;\">\u039f \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2 \u03c4\u03b7\u03c2 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae\u03c2 \u03b4\u03c1\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2 \u03c4\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03c0\u03b5\u03c1\u03b9\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03b9 \u03b1\u03c1\u03c7\u03b9\u03ba\u03ac \u03c4\u03bf\u03bd \u03c0\u03c1\u03bf\u03c3\u03b4\u03b9\u03bf\u03c1\u03b9\u03c3\u03bc\u03cc \u03c4\u03c9\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ce\u03bd \u03bf\u03c1\u03bc\u03bf\u03bd\u03ce\u03bd \u03ba\u03b1\u03b9 \u03c4\u03b7\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03c4\u03c1\u03cc\u03c0\u03bf\u03c5 \u03bf\u03c1\u03bc\u03cc\u03bd\u03b7\u03c2 (TSH). \u0395\u03c6\u2019 \u03cc\u03c3\u03bf\u03bd \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b5\u03af \u03c5\u03c0\u03b5\u03c1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03cc\u03c2 \u03b1\u03ba\u03bf\u03bb\u03bf\u03c5\u03b8\u03b5\u03af \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03bc\u03b5 Tc99 \u03c4\u03bf \u03bf\u03c0\u03bf\u03af\u03bf \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b1\u03bd\u03b1\u03b4\u03b5\u03af\u03be\u03b5\u03b9 \u03c4\u03b7\u03bd \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1 \u03c4\u03bf\u03be\u03b9\u03ba\u03bf\u03cd \u03b1\u03b4\u03b5\u03bd\u03ce\u03bc\u03b1\u03c4\u03bf\u03c2 \u03ae \u03b8\u03b5\u03c1\u03bc\u03bf\u03cd \u03cc\u03b6\u03bf\u03c5 \u03ae \u03bf\u03b6\u03ce\u03b4\u03bf\u03c5\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7\u03c2 \u03bc\u03b5 \u03b8\u03b5\u03c1\u03bc\u03ad\u03c2 \u03ba\u03b1\u03b9 \u03c8\u03c5\u03c7\u03c1\u03ad\u03c2 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ad\u03c2 (<b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b5\u03c2 3 &#8211; 5<\/b>). \u0397 \u03c4\u03b5\u03bb\u03b5\u03c5\u03c4\u03b1\u03af\u03b1 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b7 \u03c3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03c3\u03c5\u03bd\u03b4\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03c5\u03c0\u03bf\u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03cc \u03c5\u03c0\u03b5\u03c1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03cc. \u03a4\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03ad\u03c7\u03b5\u03b9 \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03ad\u03bd\u03b4\u03b5\u03b9\u03be\u03b7 \u03c3\u03b5 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03b5\u03c5\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03bf\u03cd \u03b5\u03c0\u03af \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1\u03c2 \u03b5\u03c5\u03bc\u03b5\u03b3\u03ad\u03b8\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd \u03ae \u03b5\u03c5\u03bc\u03b5\u03b3\u03ad\u03b8\u03bf\u03c5\u03c2 \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03bf\u03c5\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7\u03c2, \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b1\u03bd\u03ac\u03b4\u03b5\u03b9\u03be\u03b7 \u03b1\u03c5\u03c4\u03bf\u03bd\u03bf\u03bc\u03af\u03b1\u03c2, \u03ba\u03c5\u03c1\u03af\u03c9\u03c2 \u03c3\u03b5 \u03b9\u03c9\u03b4\u03bf\u03c0\u03b5\u03bd\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ad\u03c2, \u03ba\u03b1\u03b8\u03ce\u03c2 \u03ba\u03b1\u03b9 \u03c3\u03b5 \u03bf\u03b6\u03ce\u03b4\u03b5\u03b9\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b5\u03c2 \u03bc\u03b5 \u03c4\u03ac\u03c3\u03b7 \u00ab\u03ba\u03b1\u03c4\u03b1\u03b4\u03cd\u03c3\u03b5\u03c9\u03c2\u00bb \u03c0\u03c1\u03bf\u03c2 \u03c4\u03b7\u03bd \u03b8\u03c9\u03c1\u03b1\u03ba\u03b9\u03ba\u03ae \u03ba\u03bf\u03b9\u03bb\u03cc\u03c4\u03b7\u03c4\u03b1 (17,18). \u03a3\u03c4\u03b9\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03b1\u03c5\u03c4\u03ad\u03c2 \u03bb\u03b5\u03c0\u03c4\u03bf\u03bc\u03b5\u03c1\u03ad\u03c3\u03c4\u03b5\u03c1\u03b7 \u03b5\u03ba\u03c4\u03af\u03bc\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03bc\u03b5\u03b3\u03ad\u03b8\u03bf\u03c5\u03c2 \u03c4\u03b7\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae\u03c2 \u03b4\u03b9\u03cc\u03b3\u03ba\u03c9\u03c3\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03bf\u03c5 \u03b2\u03b1\u03b8\u03bc\u03bf\u03cd \u03ba\u03b1\u03c4\u03b1\u03b4\u03cd\u03c3\u03b5\u03c9\u03c2 \u03c3\u03c4\u03b7\u03bd \u03b8\u03c9\u03c1\u03b1\u03ba\u03b9\u03ba\u03ae \u03ba\u03bf\u03b9\u03bb\u03cc\u03c4\u03b7\u03c4\u03b1 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b3\u03af\u03bd\u03b5\u03b9 \u03ba\u03b1\u03b9 \u03bc\u03b5 \u03c4\u03b7\u03bd \u03b1\u03be\u03bf\u03bd\u03b9\u03ba\u03ae \u03c4\u03bf\u03bc\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1 \u03c4\u03c1\u03b1\u03c7\u03ae\u03bb\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03b8\u03ce\u03c1\u03b1\u03ba\u03bf\u03c2 (18) (<b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 6).<\/b><\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-951\" alt=\"10.19-figure3\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure3.jpg\" width=\"650\" height=\"284\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure3.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure3-300x131.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure3-624x272.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p style=\"text-align: justify;\"><em><strong>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 3.<\/strong><\/em> \u03b1) \u03a4\u03bf\u03be\u03b9\u03ba\u03cc \u03b1\u03b4\u03ad\u03bd\u03c9\u03bc\u03b1 \u03ba\u03b1\u03b9 \u03b2) \u03a4\u03bf\u03be\u03b9\u03ba\u03cc \u03b1\u03b4\u03ad\u03bd\u03c9\u03bc\u03b1 \u03bc\u03b5 \u03ba\u03c5\u03c3\u03c4\u03b9\u03ba\u03ae \u03b5\u03ba\u03c6\u03cd\u03bb\u03b9\u03c3\u03b7.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><em><strong><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-952\" alt=\"10.19-figure4\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure4.jpg\" width=\"330\" height=\"181\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure4.jpg 330w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure4-300x164.jpg 300w\" sizes=\"(max-width: 330px) 100vw, 330px\" \/><br \/>\n\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 4<\/strong><\/em>. \u0395\u03c5\u03bc\u03b5\u03b3\u03ad\u03b8\u03b7\u03c2 \u03b8\u03b5\u03c1\u03bc\u03cc\u03c2 \u03cc\u03b6\u03bf\u03c2 \u03c3\u03c4\u03bf\u03bd \u03ad\u03bd\u03b1 \u03bb\u03bf\u03b2\u03cc \u03ba\u03b1\u03b9 \u03bc\u03b9\u03ba\u03c1\u03cc\u03c2 \u03b8\u03b5\u03c1\u03bc\u03cc\u03c2 \u03cc\u03b6\u03bf\u03c2 \u03c3\u03c4\u03bf\u03bd \u03ba\u03ac\u03c4\u03c9 \u03c0\u03cc\u03bb\u03bf \u03c4\u03bf\u03c5 \u03ac\u03bb\u03bb\u03bf\u03c5 \u03bb\u03bf\u03b2\u03bf\u03cd.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><em><strong><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-953\" alt=\"10.19-figure5\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure5.jpg\" width=\"500\" height=\"498\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure5.jpg 500w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure5-150x150.jpg 150w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure5-300x298.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure5-90x90.jpg 90w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><br \/>\n\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 5.<\/strong><\/em> \u03a4\u03bf\u03be\u03b9\u03ba\u03ae \u03bf\u03b6\u03ce\u03b4\u03b7\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><b><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-954\" alt=\"10.19-figure6\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure6.jpg\" width=\"484\" height=\"348\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure6.jpg 484w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure6-300x215.jpg 300w\" sizes=\"(max-width: 484px) 100vw, 484px\" \/>\u00a0<\/b><\/p>\n<p style=\"text-align: justify;\"><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 6.<\/b><\/em> \u039a\u03b1\u03c4\u03b1\u03b4\u03c5\u03bf\u03bc\u03ad\u03bd\u03b7 \u03c3\u03c4\u03b7\u03bd \u03b8\u03c9\u03c1\u03b1\u03ba\u03b9\u03ba\u03ae \u03ba\u03bf\u03b9\u03bb\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7 \u03c3\u03b5 CT-\u03b8\u03ce\u03c1\u03b1\u03ba\u03bf\u03c2 (\u03b5\u03b3\u03ba\u03ac\u03c1\u03c3\u03b9\u03b1 \u03c4\u03bf\u03bc\u03ae).<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<h5 style=\"text-align: justify;\"><b>6.2. \u0394\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c0\u03b9\u03b8\u03b1\u03bd\u03ae\u03c2 \u03ba\u03b1\u03ba\u03bf\u03b7\u03b8\u03b5\u03af\u03b1\u03c2<\/b><\/h5>\n<p style=\"text-align: justify;\">\u0397 \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c0\u03b9\u03b8\u03b1\u03bd\u03ae\u03c2 \u03ba\u03b1\u03ba\u03bf\u03b7\u03b8\u03b5\u03af\u03b1\u03c2 \u03c4\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03b2\u03b1\u03c3\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b1 \u03b5\u03be\u03ae\u03c2: \u03b1\u03c4\u03bf\u03bc\u03b9\u03ba\u03cc \u03ba\u03b1\u03b9 \u03ba\u03bb\u03b7\u03c1\u03bf\u03bd\u03bf\u03bc\u03b9\u03ba\u03cc \u03b9\u03c3\u03c4\u03bf\u03c1\u03b9\u03ba\u03cc \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2, \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7, \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03b1\u03ba\u03cc\u03c2 \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2, \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03cc\u03c2 \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2 \u03ba\u03b1\u03b9 \u03b5\u03c0\u03b9\u03bb\u03b5\u03ba\u03c4\u03b9\u03ba\u03ac \u03c0\u03b1\u03c1\u03b1\u03ba\u03ad\u03bd\u03c4\u03b7\u03c3\u03b7 \u03bc\u03b5 \u03bb\u03b5\u03c0\u03c4\u03ae \u03b2\u03b5\u03bb\u03cc\u03bd\u03b1 (FNA) (18). \u03a0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03c3\u03b7\u03bc\u03b5\u03b9\u03c9\u03b8\u03b5\u03af \u03cc\u03c4\u03b9 \u03c4\u03cc\u03c3\u03bf \u03bf\u03b9 \u03cc\u03b6\u03bf\u03b9 \u03c0\u03bf\u03c5 \u03b4\u03b9\u03b1\u03c0\u03b9\u03c3\u03c4\u03ce\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bc\u03cc\u03bd\u03bf \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ac \u03cc\u03c3\u03bf \u03ba\u03b1\u03b9 \u03bf\u03b9 \u03c8\u03b7\u03bb\u03b1\u03c6\u03b7\u03c4\u03bf\u03af \u03cc\u03b6\u03bf\u03b9 \u03bc\u03b5 \u03c0\u03b1\u03c1\u03cc\u03bc\u03bf\u03b9\u03bf \u03bc\u03ad\u03b3\u03b5\u03b8\u03bf\u03c2, \u03ad\u03c7\u03bf\u03c5\u03bd \u03c4\u03b7\u03bd \u03af\u03b4\u03b9\u03b1 \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03ba\u03b1\u03ba\u03bf\u03b7\u03b8\u03b5\u03af\u03b1\u03c2 (10,18).<\/p>\n<h6 style=\"text-align: justify;\"><b>6.2.1. \u0391\u03c4\u03bf\u03bc\u03b9\u03ba\u03cc \u03ba\u03b1\u03b9 \u03ba\u03bb\u03b7\u03c1\u03bf\u03bd\u03bf\u03bc\u03b9\u03ba\u03cc \u03b1\u03bd\u03b1\u03bc\u03bd\u03b7\u03c3\u03c4\u03b9\u03ba\u03cc<\/b><\/h6>\n<p style=\"text-align: justify;\">\u0391\u03c0\u03cc \u03c4\u03bf \u03b1\u03c4\u03bf\u03bc\u03b9\u03ba\u03cc \u03b1\u03bd\u03b1\u03bc\u03bd\u03b7\u03c3\u03c4\u03b9\u03ba\u03cc \u03c0\u03bf\u03bb\u03cd \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03cc \u03c3\u03c4\u03bf\u03b9\u03c7\u03b5\u03af\u03bf \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03c4\u03bf \u03b9\u03c3\u03c4\u03bf\u03c1\u03b9\u03ba\u03cc \u03ad\u03ba\u03b8\u03b5\u03c3\u03b7\u03c2 \u03c3\u03b5 \u03b9\u03bf\u03bd\u03af\u03b6\u03bf\u03c5\u03c3\u03b1 \u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03b2\u03bf\u03bb\u03af\u03b1, \u03b9\u03b4\u03af\u03c9\u03c2 \u03ba\u03b1\u03c4\u03ac \u03c4\u03b7\u03bd \u03c0\u03b1\u03b9\u03b4\u03b9\u03ba\u03ae \u03ba\u03b1\u03b9 \u03b5\u03c6\u03b7\u03b2\u03b9\u03ba\u03ae \u03b7\u03bb\u03b9\u03ba\u03af\u03b1, \u03b5\u03af\u03c4\u03b5 \u03b1\u03c0\u03cc \u03c4\u03bf \u03c0\u03b5\u03c1\u03b9\u03b2\u03ac\u03bb\u03bb\u03bf\u03bd (\u03ba\u03c5\u03c1\u03af\u03c9\u03c2 \u03bb\u03cc\u03b3\u03c9 \u03c0\u03c5\u03c1\u03b7\u03bd\u03b9\u03ba\u03bf\u03cd \u03b1\u03c4\u03c5\u03c7\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03ba\u03b1\u03b9 \u03c3\u03c0\u03b1\u03bd\u03b9\u03ce\u03c4\u03b5\u03c1\u03b1 \u03bb\u03cc\u03b3\u03c9 \u03c0\u03c5\u03c1\u03b7\u03bd\u03b9\u03ba\u03ce\u03bd \u03b4\u03bf\u03ba\u03b9\u03bc\u03ce\u03bd, \u03b1\u03ba\u03cc\u03bc\u03b7 \u03b4\u03b5 \u03c3\u03c0\u03b1\u03bd\u03b9\u03ce\u03c4\u03b5\u03c1\u03b1 \u03bb\u03cc\u03b3\u03c9 \u03b5\u03c0\u03b1\u03b3\u03b3\u03b5\u03bb\u03bc\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u03ad\u03ba\u03b8\u03b5\u03c3\u03b7\u03c2 \u03cc\u03c4\u03b1\u03bd \u03b4\u03b5\u03bd \u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c4\u03b1 \u03b1\u03c0\u03b1\u03c1\u03b1\u03af\u03c4\u03b7\u03c4\u03b1 \u03bc\u03ad\u03c4\u03c1\u03b1 \u03c0\u03c1\u03bf\u03c3\u03c4\u03b1\u03c3\u03af\u03b1\u03c2) \u03b5\u03af\u03c4\u03b5 \u03bb\u03cc\u03b3\u03c9 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae\u03c2 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7\u03c2 (19). \u039b\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03c5\u03c0\u2019 \u03cc\u03c8\u03b9\u03bd \u03c4\u03bf \u03b9\u03c3\u03c4\u03bf\u03c1\u03b9\u03ba\u03cc \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03bf\u03c5\u03c2 \u03bd\u03bf\u03c3\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2. \u03a3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1 \u03cc\u03c0\u03c9\u03c2 \u03c4\u03b1\u03c7\u03b5\u03af\u03b1 \u03b1\u03cd\u03be\u03b7\u03c3\u03b7 \u03bc\u03b5\u03b3\u03ad\u03b8\u03bf\u03c5\u03c2 \u03b1\u03bd\u03ce\u03b4\u03c5\u03bd\u03b7\u03c2 \u03c3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03c4\u03c1\u03b1\u03c7\u03b7\u03bb\u03b9\u03ba\u03ae\u03c2 \u03b4\u03b9\u03cc\u03b3\u03ba\u03c9\u03c3\u03b7\u03c2, \u03c0\u03b9\u03b5\u03c3\u03c4\u03b9\u03ba\u03ac \u03c6\u03b1\u03b9\u03bd\u03cc\u03bc\u03b5\u03bd\u03b1 \u03b1\u03c0\u03cc \u03c4\u03bf \u03b1\u03bd\u03ce\u03c4\u03b5\u03c1\u03bf \u03b1\u03bd\u03b1\u03c0\u03bd\u03b5\u03c5\u03c3\u03c4\u03b9\u03ba\u03cc, \u03b2\u03c1\u03ac\u03b3\u03c7\u03bf\u03c2 \u03c6\u03c9\u03bd\u03ae\u03c2 \u03ae\/\u03ba\u03b1\u03b9 \u03b4\u03c5\u03c3\u03ba\u03b1\u03c4\u03b1\u03c0\u03bf\u03c3\u03af\u03b1 \u03b8\u03ad\u03c4\u03bf\u03c5\u03bd \u03c4\u03b7\u03bd \u03c5\u03c0\u03cc\u03bd\u03bf\u03b9\u03b1 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03bf\u03c5\u03c2 \u03b5\u03be\u03b5\u03c1\u03b3\u03b1\u03c3\u03af\u03b1\u03c2, \u03cc\u03c0\u03c9\u03c2 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b8\u03b7\u03ba\u03b5 \u03ba\u03b1\u03b9 \u03c0\u03c1\u03bf\u03b7\u03b3\u03bf\u03c5\u03bc\u03ad\u03bd\u03c9\u03c2.<\/p>\n<p style=\"text-align: justify;\">\u0391\u03c0\u03cc \u03c4\u03bf \u03ba\u03bb\u03b7\u03c1\u03bf\u03bd\u03bf\u03bc\u03b9\u03ba\u03cc \u03b9\u03c3\u03c4\u03bf\u03c1\u03b9\u03ba\u03cc \u03b8\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b4\u03b9\u03b5\u03c5\u03ba\u03c1\u03b9\u03bd\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03b7 \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03cd\u03c0\u03b1\u03c1\u03be\u03b7\u03c2 \u03c3\u03c5\u03b3\u03b3\u03b5\u03bd\u03bf\u03cd\u03c2 \u03bc\u03b5 \u03ba\u03b1\u03ba\u03cc\u03b7\u03b8\u03b5\u03c2 \u03bd\u03cc\u03c3\u03b7\u03bc\u03b1 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03b5\u03af\u03c4\u03b5 \u03c9\u03c2 \u03bc\u03b5\u03bc\u03bf\u03bd\u03c9\u03bc\u03ad\u03bd\u03b7 \u03b5\u03ba\u03b4\u03ae\u03bb\u03c9\u03c3\u03b7 \u03b5\u03af\u03c4\u03b5 \u03c3\u03c4\u03b1 \u03c0\u03bb\u03b1\u03af\u03c3\u03b9\u03b1 \u03bd\u03b5\u03bf\u03c0\u03bb\u03b1\u03c3\u03bc\u03b1\u03c4\u03b9\u03ba\u03ce\u03bd \u03c3\u03c5\u03bd\u03b4\u03c1\u03cc\u03bc\u03c9\u03bd. \u03a4\u03bf \u03bf\u03b9\u03ba\u03bf\u03b3\u03b5\u03bd\u03ad\u03c2 \u03b8\u03b7\u03bb\u03ce\u03b4\u03b5\u03c2 \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03c9\u03bc\u03b1 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03b5\u03ba\u03c4\u03b9\u03bc\u03ac\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc 3 &#8211; 5% \u03c4\u03c9\u03bd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd \u03bc\u03b5 \u03b8\u03b7\u03bb\u03ce\u03b4\u03b5\u03c2 \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03c9\u03bc\u03b1 \u03ba\u03b1\u03b9 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03bc\u03b5\u03bc\u03bf\u03bd\u03c9\u03bc\u03ad\u03bd\u03bf. \u0393\u03b9\u03b1 \u03bd\u03b1 \u03b8\u03b5\u03c9\u03c1\u03b7\u03b8\u03b5\u03af \u03c9\u03c2 \u03bf\u03b9\u03ba\u03bf\u03b3\u03b5\u03bd\u03ad\u03c2 \u03b8\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03c5\u03c0\u03ac\u03c1\u03c7\u03bf\u03c5\u03bd \u03c4\u03bf\u03c5\u03bb\u03ac\u03c7\u03b9\u03c3\u03c4\u03bf\u03bd \u03b4\u03cd\u03bf \u03c3\u03c5\u03b3\u03b3\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03b8\u03b7\u03bb\u03ce\u03b4\u03b5\u03c2 \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03c9\u03bc\u03b1. \u03a3\u03c0\u03b1\u03bd\u03af\u03c9\u03c2, \u03c4\u03bf \u03bf\u03b9\u03ba\u03bf\u03b3\u03b5\u03bd\u03ad\u03c2 \u03b8\u03c5\u03bb\u03b1\u03ba\u03b9\u03bf\u03ba\u03c5\u03c4\u03c4\u03b1\u03c1\u03b9\u03ba\u03cc \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03c9\u03bc\u03b1 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03b5\u03ba\u03b4\u03ae\u03bb\u03c9\u03c3\u03b7 \u03bd\u03b5\u03bf\u03c0\u03bb\u03b1\u03c3\u03bc\u03b1\u03c4\u03b9\u03ba\u03ce\u03bd \u03c3\u03c5\u03bd\u03b4\u03c1\u03cc\u03bc\u03c9\u03bd \u03cc\u03c0\u03c9\u03c2 \u03c0\u03c7. \u03b7 \u03bf\u03b9\u03ba\u03bf\u03b3\u03b5\u03bd\u03ae\u03c2 \u03c0\u03bf\u03bb\u03cd\u03c0\u03c9\u03c3\u03b7 \u03c0\u03b1\u03c7\u03ad\u03bf\u03c2 \u03b5\u03bd\u03c4\u03ad\u03c1\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03c4\u03bf \u03c3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf Gardner \u03c0\u03bf\u03c5 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03c5\u03c0\u03cc\u03c4\u03c5\u03c0\u03bf \u03b1\u03c5\u03c4\u03ae\u03c2 \u03ba\u03b1\u03b9 \u03bf\u03c6\u03b5\u03af\u03bb\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03b1\u03b4\u03c1\u03b1\u03bd\u03bf\u03c0\u03bf\u03b9\u03b7\u03c4\u03b9\u03ba\u03ad\u03c2 \u03bc\u03b5\u03c4\u03b1\u03bb\u03bb\u03ac\u03be\u03b5\u03b9\u03c2 \u03c4\u03bf\u03c5 \u03bf\u03b3\u03ba\u03bf\u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03b1\u03bb\u03c4\u03b9\u03ba\u03bf\u03cd \u03b3\u03bf\u03bd\u03b9\u03b4\u03af\u03bf\u03c5 APC (adenomatous polyposis coli), \u03b7 \u03bd\u03cc\u03c3\u03bf\u03c2 Cowden \u03c0\u03bf\u03c5 \u03bf\u03c6\u03b5\u03af\u03bb\u03b5\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03b1\u03b4\u03c1\u03b1\u03bd\u03bf\u03c0\u03bf\u03b9\u03b7\u03c4\u03b9\u03ba\u03ad\u03c2 \u03bc\u03b5\u03c4\u03b1\u03bb\u03bb\u03ac\u03be\u03b5\u03b9\u03c2 \u03c4\u03bf\u03c5 \u03bf\u03b3\u03ba\u03bf\u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03b1\u03bb\u03c4\u03b9\u03ba\u03bf\u03cd \u03b3\u03bf\u03bd\u03b9\u03b4\u03af\u03bf\u03c5 PTEN (phosphatase and tensin homologue) \u03ba\u03bb\u03c0. (20). \u0391\u03bd\u03c4\u03b9\u03b8\u03ad\u03c4\u03c9\u03c2 \u03c4\u03bf \u03bf\u03b9\u03ba\u03bf\u03b3\u03b5\u03bd\u03ad\u03c2 \u03bc\u03c5\u03b5\u03bb\u03bf\u03b5\u03b9\u03b4\u03ad\u03c2 \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03c9\u03bc\u03b1 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03bf\u03bb\u03cd \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b5\u03c1\u03bf \u03ba\u03b1\u03b8\u03ce\u03c2 \u03b5\u03ba\u03c4\u03b9\u03bc\u03ac\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf 20-25% \u03c4\u03c9\u03bd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd \u03bc\u03b5 \u03bc\u03c5\u03b5\u03bb\u03bf\u03b5\u03b9\u03b4\u03ad\u03c2 \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03c9\u03bc\u03b1, \u03b5\u03af\u03c4\u03b5 \u03c3\u03c4\u03b1 \u03c0\u03bb\u03b1\u03af\u03c3\u03b9\u03b1 \u03bd\u03b5\u03bf\u03c0\u03bb\u03b1\u03c3\u03bc\u03b1\u03c4\u03b9\u03ba\u03ce\u03bd \u03c3\u03c5\u03bd\u03b4\u03c1\u03cc\u03bc\u03c9\u03bd (\u03c3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf \u03c0\u03bf\u03bb\u03bb\u03b1\u03c0\u03bb\u03ae\u03c2 \u03b5\u03bd\u03b4\u03bf\u03ba\u03c1\u03b9\u03bd\u03b9\u03ba\u03ae\u03c2 \u03bd\u03b5\u03bf\u03c0\u03bb\u03b1\u03c3\u03af\u03b1\u03c2 \u03c4\u03cd\u03c0\u03bf\u03c5 2 (\u039c\u0395\u039d 2\u0391 &amp; 2\u0392)), \u03b5\u03af\u03c4\u03b5 \u03c9\u03c2 \u03bc\u03b5\u03bc\u03bf\u03bd\u03c9\u03bc\u03ad\u03bd\u03bf \u03bf\u03b9\u03ba\u03bf\u03b3\u03b5\u03bd\u03ad\u03c2 \u03bc\u03c5\u03b5\u03bb\u03bf\u03b5\u03b9\u03b4\u03ad\u03c2 (familial medullary thyroid cancer, FMTC), \u03b3\u03b9\u03b1 \u03c4\u03bf \u03bf\u03c0\u03bf\u03af\u03bf \u03c0\u03b1\u03c1\u03b1\u03bc\u03ad\u03bd\u03b5\u03b9 \u03b1\u03b4\u03b9\u03b5\u03c5\u03ba\u03c1\u03af\u03bd\u03b9\u03c3\u03c4\u03bf \u03c4\u03bf \u03b5\u03bd\u03b4\u03b5\u03c7\u03cc\u03bc\u03b5\u03bd\u03bf \u03bd\u03b1 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03c0\u03b1\u03c1\u03b1\u03bb\u03bb\u03b1\u03b3\u03ae \u03c4\u03bf\u03c5 \u03c3\u03c5\u03bd\u03b4\u03c1\u03cc\u03bc\u03bf\u03c5 \u039c\u0395\u039d 2\u0391 (\u03c7\u03c9\u03c1\u03af\u03c2 \u03c4\u03b7\u03bd \u03b5\u03ba\u03b4\u03ae\u03bb\u03c9\u03c3\u03b7 \u03c6\u03b1\u03b9\u03bf\u03c7\u03c1\u03c9\u03bc\u03bf\u03ba\u03c5\u03c4\u03c4\u03ce\u03bc\u03b1\u03c4\u03bf\u03c2 \u03ae \/ \u03ba\u03b1\u03b9 \u03c0\u03c1\u03c9\u03c4\u03bf\u03c0\u03b1\u03b8\u03bf\u03cd\u03c2 \u03c5\u03c0\u03b5\u03c1\u03c0\u03b1\u03c1\u03b1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03bf\u03cd (21).<\/p>\n<h6 style=\"text-align: justify;\"><b>6.2.2. \u039a\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1<\/b><\/h6>\n<p style=\"text-align: justify;\">\u0391\u03c0\u03cc \u03c4\u03b7\u03bd \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 \u03c5\u03c0\u03cc\u03bd\u03bf\u03b9\u03b1 \u03ba\u03b1\u03ba\u03bf\u03b7\u03b8\u03b5\u03af\u03b1\u03c2 \u03c4\u03af\u03b8\u03b5\u03c4\u03b1\u03b9 \u03cc\u03c4\u03b1\u03bd \u03b7 \u03c4\u03c1\u03b1\u03c7\u03b7\u03bb\u03b9\u03ba\u03ae \u03b4\u03b9\u03cc\u03b3\u03ba\u03c9\u03c3\u03b7 \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b5\u03c1\u03b9\u03ba\u03ce\u03c2 \u03ae \u03c0\u03bb\u03ae\u03c1\u03c9\u03c2 \u03ba\u03b1\u03b8\u03b7\u03bb\u03c9\u03bc\u03ad\u03bd\u03b7 \u03c3\u03c4\u03b9\u03c2 \u03b3\u03b5\u03b9\u03c4\u03bf\u03bd\u03b9\u03ba\u03ad\u03c2 \u03b1\u03bd\u03b1\u03c4\u03bf\u03bc\u03b9\u03ba\u03ad\u03c2 \u03b4\u03bf\u03bc\u03ad\u03c2 \u03ae\/\u03ba\u03b1\u03b9 \u03cc\u03c4\u03b1\u03bd \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03b5\u03b9 \u03c0\u03bf\u03bb\u03cd \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7 \u03c3\u03cd\u03c3\u03c4\u03b1\u03c3\u03b7 \u03ae \u03c3\u03ba\u03bb\u03b7\u03c1\u03af\u03b1 \u03ae\/\u03ba\u03b1\u03b9 \u03cc\u03c4\u03b1\u03bd \u03c3\u03c5\u03bd\u03bf\u03b4\u03b5\u03cd\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1 \u03c8\u03b7\u03bb\u03b1\u03c6\u03b7\u03c4\u03ce\u03bd \u03c4\u03c1\u03b1\u03c7\u03b7\u03bb\u03b9\u03ba\u03ce\u03bd \u03bb\u03b5\u03bc\u03c6\u03b1\u03b4\u03ad\u03bd\u03c9\u03bd, \u03cc\u03c0\u03c9\u03c2 \u03c0\u03c1\u03bf\u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b8\u03b7\u03ba\u03b5. \u0395\u03c0\u03af\u03c3\u03b7\u03c2, \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03c3\u03b7\u03bc\u03b5\u03b9\u03c9\u03b8\u03b5\u03af \u03cc\u03c4\u03b9 \u03c4\u03bf \u03c6\u03cd\u03bb\u03bf \u03ba\u03b1\u03b9 \u03b7 \u03b7\u03bb\u03b9\u03ba\u03af\u03b1 \u03ad\u03c7\u03bf\u03c5\u03bd \u03c3\u03b7\u03bc\u03b1\u03c3\u03af\u03b1, \u03ba\u03b1\u03b8\u03ce\u03c2 \u03cc\u03b6\u03bf\u03b9 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03c3\u03c4\u03bf\u03c5\u03c2 \u03ac\u03bd\u03b4\u03c1\u03b5\u03c2, \u03c3\u03b5 \u03c0\u03b1\u03b9\u03b4\u03b9\u03ac \u03ae \u03b5\u03c6\u03ae\u03b2\u03bf\u03c5\u03c2 \u03ba\u03b1\u03b8\u03ce\u03c2 \u03ba\u03b1\u03b9 \u03c3\u03b5 \u03b7\u03bb\u03b9\u03ba\u03b9\u03c9\u03bc\u03ad\u03bd\u03bf\u03c5\u03c2 \u03ad\u03c7\u03bf\u03c5\u03bd \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7 \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03c2 (22). \u03a9\u03c3\u03c4\u03cc\u03c3\u03bf, \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b5\u03c0\u03b9\u03c3\u03b7\u03bc\u03b1\u03bd\u03b8\u03b5\u03af \u03cc\u03c4\u03b9 \u03bf\u03b9 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03bf\u03b9 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03cc\u03b6\u03bf\u03c5\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c3\u03c5\u03bc\u03c0\u03c4\u03c9\u03bc\u03b1\u03c4\u03b9\u03ba\u03bf\u03af \u03ba\u03b1\u03b9 \u03bc\u03b5 \u03b5\u03bb\u03b5\u03cd\u03b8\u03b5\u03c1\u03bf \u03b1\u03c4\u03bf\u03bc\u03b9\u03ba\u03cc \u03ba\u03b1\u03b9 \u03ba\u03bb\u03b7\u03c1\u03bf\u03bd\u03bf\u03bc\u03b9\u03ba\u03cc \u03b1\u03bd\u03b1\u03bc\u03bd\u03b7\u03c3\u03c4\u03b9\u03ba\u03cc.<b><br \/>\n<\/b><\/p>\n<h6 style=\"text-align: justify;\"><b>6.2.3. \u0395\u03c1\u03b3\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03b1\u03ba\u03cc\u03c2 \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2<\/b><\/h6>\n<p style=\"text-align: justify;\">\u039f \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03b1\u03ba\u03cc\u03c2 \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2 \u03ad\u03c7\u03b5\u03b9 \u03bc\u03b9\u03ba\u03c1\u03ae \u03c3\u03c5\u03bc\u03b2\u03bf\u03bb\u03ae \u03c3\u03c4\u03b7\u03bd \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c0\u03b9\u03b8\u03b1\u03bd\u03ae\u03c2 \u03ba\u03b1\u03ba\u03bf\u03b7\u03b8\u03b5\u03af\u03b1\u03c2 \u03c4\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2. \u03a5\u03c0\u03ac\u03c1\u03c7\u03bf\u03c5\u03bd \u03bc\u03b5\u03bb\u03ad\u03c4\u03b5\u03c2 \u03c0\u03bf\u03c5 \u03ad\u03c7\u03bf\u03c5\u03bd \u03b4\u03b5\u03af\u03be\u03b5\u03b9 \u03cc\u03c4\u03b9 \u03c4\u03b1 \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b1 TSH \u03c3\u03c5\u03c7\u03b5\u03c4\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03c4\u03bf\u03bd \u03b8\u03c5\u03bb\u03b1\u03ba\u03b9\u03bf\u03ba\u03c5\u03c4\u03c4\u03b1\u03c1\u03b9\u03ba\u03cc \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf \u03c3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03cc\u03b6\u03bf\u03c5\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 (23-25), \u03c9\u03c3\u03c4\u03cc\u03c3\u03bf \u03c4\u03b1 \u03b4\u03b5\u03b4\u03bf\u03bc\u03ad\u03bd\u03b1 \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03c0\u03b1\u03c1\u03ba\u03ae \u03b3\u03b9\u03b1 \u03bd\u03b1 \u03b8\u03b5\u03c9\u03c1\u03b7\u03b8\u03b5\u03af \u03c9\u03c2 \u03b4\u03b5\u03af\u03ba\u03c4\u03b7\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03bf \u03c3\u03c5\u03b3\u03ba\u03b5\u03ba\u03c1\u03b9\u03bc\u03bc\u03ad\u03bd\u03bf \u03bd\u03b5\u03cc\u03c0\u03bb\u03b1\u03c3\u03bc\u03b1. \u0395\u03c0\u03bf\u03bc\u03ad\u03bd\u03c9\u03c2, \u03bf\u03b9 \u03c3\u03c5\u03c3\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2 \u03c4\u03c9\u03bd \u0395\u03c0\u03b9\u03c3\u03c4\u03b7\u03bc\u03bf\u03bd\u03b9\u03ba\u03ce\u03bd \u0395\u03c4\u03b1\u03b9\u03c1\u03b5\u03b9\u03ce\u03bd \u0398\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 (\u0395\u03c5\u03c1\u03c9\u03c0\u03b1\u03ca\u03ba\u03ae \u0388\u03bd\u03c9\u03c3\u03b7 \u0398\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 (European Thyroid Association, ETA) (26), \u0391\u03bc\u03b5\u03c1\u03b9\u03ba\u03b1\u03bd\u03b9\u03ba\u03ae \u0388\u03bd\u03c9\u03c3\u03b7 \u0398\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 (American Thyroid Association, ATA) (27)) \u03c0\u03b5\u03c1\u03b9\u03bf\u03c1\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf\u03bd \u03c0\u03c1\u03bf\u03c3\u03b4\u03b9\u03bf\u03c1\u03b9\u03c3\u03bc\u03cc TSH \u03c3\u03c4\u03b1 \u03c0\u03bb\u03b1\u03af\u03c3\u03b9\u03b1 \u03b5\u03bb\u03ad\u03b3\u03c7\u03bf\u03c5 \u03c4\u03b7\u03c2 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae\u03c2 \u03b4\u03c1\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2 \u03c4\u03b7\u03c2 \u03bf\u03b6\u03ce\u03b4\u03bf\u03c5\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae\u03c2 \u03bd\u03cc\u03c3\u03bf\u03c5. \u039f \u03c0\u03c1\u03bf\u03c3\u03b4\u03b9\u03bf\u03c1\u03b9\u03c3\u03bc\u03cc\u03c2 \u03c4\u03b7\u03c2 \u03b2\u03b1\u03c3\u03b9\u03ba\u03ae\u03c2 \u03c4\u03b9\u03bc\u03ae\u03c2 \u03ba\u03b1\u03bb\u03c3\u03b9\u03c4\u03bf\u03bd\u03af\u03bd\u03b7\u03c2 \u03bf\u03c1\u03bf\u03cd \u03b5\u03c0\u03b9\u03c4\u03c1\u03ad\u03c0\u03b5\u03b9 \u03c4\u03b7\u03bd \u03c0\u03c1\u03bf\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03ae \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03bc\u03c5\u03b5\u03bb\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03ba\u03b1\u03c1\u03ba\u03b9\u03bd\u03ce\u03bc\u03b1\u03c4\u03bf\u03c2 \u03bc\u03b5 \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7 \u03b1\u03ba\u03c1\u03af\u03b2\u03b5\u03b9\u03b1 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03c0\u03b1\u03c1\u03b1\u03ba\u03ad\u03bd\u03c4\u03b7\u03c3\u03b7 \u03bc\u03b5 \u03bb\u03b5\u03c0\u03c4\u03ae \u03b2\u03b5\u03bb\u03cc\u03bd\u03b1 (FNA) (28-30) \u03ba\u03b1\u03b9 \u03b5\u03c6\u03b1\u03c1\u03bc\u03cc\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd \u03ba\u03b1\u03b8\u03b7\u03bc\u03b5\u03c1\u03b9\u03bd\u03ae \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03c0\u03c1\u03ac\u03be\u03b7 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c4\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03c3\u03b5 \u03b1\u03c1\u03ba\u03b5\u03c4\u03ac \u03ba\u03ad\u03bd\u03c4\u03c1\u03b1. \u03a9\u03c3\u03c4\u03cc\u03c3\u03bf \u03b4\u03b5\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03b4\u03b9\u03b5\u03b8\u03bd\u03ce\u03c2 \u03bf\u03bc\u03bf\u03c6\u03c9\u03bd\u03af\u03b1 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03c3\u03c7\u03ad\u03c3\u03b7 \u03ba\u03cc\u03c3\u03c4\u03bf\u03c5\u03c2 \/ \u03bf\u03c6\u03ad\u03bb\u03bf\u03c5\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03c3\u03c5\u03b3\u03ba\u03b5\u03ba\u03c1\u03b9\u03bc\u03bc\u03ad\u03bd\u03b7 \u03c0\u03c1\u03b1\u03ba\u03c4\u03b9\u03ba\u03ae \u03c3\u03c4\u03b7\u03bd \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03bc\u03c5\u03b5\u03bb\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03ba\u03b1\u03c1\u03ba\u03b9\u03bd\u03ce\u03bc\u03b1\u03c4\u03bf\u03c2, \u03b3\u03b9\u2019 \u03b1\u03c5\u03c4\u03cc \u03ba\u03b1\u03b9 \u03b4\u03b5\u03bd \u03ad\u03c7\u03b5\u03b9 \u03c3\u03c5\u03bc\u03c0\u03b5\u03c1\u03b9\u03bb\u03b7\u03c6\u03b8\u03b5\u03af \u03c9\u03c2 \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2 \u03c1\u03bf\u03c5\u03c4\u03af\u03bd\u03b1\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c4\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03c3\u03c4\u03b9\u03c2 \u03c3\u03c5\u03c3\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2 \u03c4\u03b7\u03c2 \u0391\u03bc\u03b5\u03c1\u03b9\u03ba\u03b1\u03bd\u03b9\u03ba\u03ae\u03c2 \u0388\u03bd\u03c9\u03c3\u03b7\u03c2 \u0398\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 (27), \u03bf\u03cd\u03c4\u03b5 \u03c4\u03b7\u03c2 \u03c0\u03bb\u03ad\u03bf\u03bd \u03c0\u03c1\u03cc\u03c3\u03c6\u03b1\u03c4\u03b7\u03c2 \u03b4\u03b9\u03b5\u03c4\u03b1\u03b9\u03c1\u03b9\u03ba\u03ae\u03c2 \u03c3\u03c5\u03bd\u03b5\u03c1\u03b3\u03b1\u03c3\u03af\u03b1\u03c2 \u03c4\u03c1\u03b9\u03ce\u03bd \u0395\u03c0\u03b9\u03c3\u03c4\u03b7\u03bc\u03bf\u03bd\u03b9\u03ba\u03ce\u03bd \u0395\u03c4\u03b1\u03b9\u03c1\u03b5\u03b9\u03ce\u03bd (\u03c4\u03b7\u03bd \u0391\u03bc\u03b5\u03c1\u03b9\u03ba\u03b1\u03bd\u03b9\u03ba\u03ae \u0388\u03bd\u03c9\u03c3\u03b7 \u039a\u03bb\u03b9\u03bd\u03b9\u03ba\u03ce\u03bd \u0395\u03bd\u03b4\u03bf\u03ba\u03c1\u03b9\u03bd\u03bf\u03bb\u03cc\u03b3\u03c9\u03bd (American Association of Clinical Endocrinologists, AACE), \u03c4\u03b7\u03bd \u0399\u03c4\u03b1\u03bb\u03b9\u03ba\u03ae \u0388\u03bd\u03c9\u03c3\u03b7 \u039a\u03bb\u03b9\u03bd\u03b9\u03ba\u03ce\u03bd \u0395\u03bd\u03b4\u03bf\u03ba\u03c1\u03b9\u03bd\u03bf\u03bb\u03cc\u03b3\u03c9\u03bd (Associazione Medici Endocrinologi, AME) \u03ba\u03b1\u03b9 ETA (AACE\/AME\/ETA) (31). \u0391\u03bd\u03c4\u03b9\u03b8\u03ad\u03c4\u03c9\u03c2, \u03c3\u03c4\u03b9\u03c2 \u03c3\u03c5\u03c3\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2 \u03cc\u03bb\u03c9\u03bd \u03c4\u03c9\u03bd \u0395\u03c0\u03b9\u03c3\u03c4\u03b7\u03bc\u03bf\u03bd\u03b9\u03ba\u03ce\u03bd \u0395\u03c4\u03b1\u03b9\u03c1\u03b5\u03b9\u03ce\u03bd \u03c4\u03bf\u03bd\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03cc\u03c4\u03b9 \u03bf \u03c0\u03c1\u03bf\u03c3\u03b4\u03b9\u03bf\u03c1\u03b9\u03c3\u03bc\u03cc\u03c2 \u03c4\u03b7\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03c3\u03c6\u03b1\u03b9\u03c1\u03af\u03bd\u03b7\u03c2 \u03bf\u03c1\u03bf\u03cd \u03b4\u03b5\u03bd \u03ad\u03c7\u03b5\u03b9 \u03ba\u03b1\u03bc\u03bc\u03af\u03b1 \u03b8\u03ad\u03c3\u03b7 \u03c3\u03c4\u03b7\u03bd \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c0\u03b9\u03b8\u03b1\u03bd\u03ae\u03c2 \u03ba\u03b1\u03ba\u03bf\u03b7\u03b8\u03b5\u03af\u03b1\u03c2 \u03c4\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2, \u03ba\u03b1\u03b8\u03ce\u03c2 \u03b7 \u03b8\u03c5\u03c1\u03b5\u03bf\u03c3\u03c6\u03b1\u03b9\u03c1\u03af\u03bd\u03b7 \u03bf\u03c1\u03bf\u03cd \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03b4\u03b5\u03af\u03ba\u03c4\u03b7 \u03bc\u03b5\u03c4\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03ae\u03c2 \u03c0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03cd\u03b8\u03b7\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03bb\u03b1\u03ba\u03b9\u03bf\u03ba\u03c5\u03c4\u03c4\u03b1\u03c1\u03b9\u03ba\u03bf\u03cd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c5 (26,27,31).<\/p>\n<h6 style=\"text-align: justify;\"><b>6.2.4. \u0391\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03cc\u03c2 \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2<\/b><\/h6>\n<p style=\"text-align: justify;\">\u038c\u03bb\u03bf\u03b9 \u03bf\u03b9 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03b3\u03bd\u03c9\u03c3\u03c4\u03ae \u03ae \u03c0\u03b9\u03b8\u03b1\u03bd\u03bf\u03bb\u03bf\u03b3\u03bf\u03cd\u03bc\u03b5\u03bd\u03b7 \u03bf\u03b6\u03ce\u03b4\u03b7 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae \u03bd\u03cc\u03c3\u03bf \u03b8\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03c5\u03c0\u03bf\u03b2\u03ac\u03bb\u03bb\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03ac\u03c6\u03b7\u03bc\u03b1 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03c3\u03cd\u03bc\u03c6\u03c9\u03bd\u03b1 \u03bc\u03b5 \u03c4\u03b9\u03c2 \u03c3\u03c5\u03c3\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2 \u03cc\u03bb\u03c9\u03bd \u03c4\u03c9\u03bd \u0395\u03c0\u03b9\u03c3\u03c4\u03b7\u03bc\u03bf\u03bd\u03b9\u03ba\u03ce\u03bd \u0395\u03c4\u03b1\u03b9\u03c1\u03b5\u03b9\u03ce\u03bd (26,27,30), \u03ba\u03b1\u03b8\u03ce\u03c2 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03c4\u03bf\u03bd \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03cc \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf \u03b5\u03ba\u03bb\u03bf\u03b3\u03ae\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c4\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd. \u03a4\u03bf \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c5\u03c8\u03b7\u03bb\u03ae \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1 \u03ba\u03b1\u03b9 \u03b5\u03b9\u03b4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c3\u03c4\u03b7\u03bd \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7 \u03c4\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd, \u03b5\u03c5\u03ba\u03bf\u03bb\u03af\u03b1 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03c7\u03b1\u03bc\u03b7\u03bb\u03cc \u03ba\u03cc\u03c3\u03c4\u03bf\u03c2 (5,10,18).<\/p>\n<p style=\"text-align: justify;\">\u03a4\u03bf \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03ba\u03b1\u03b8\u03bf\u03c1\u03af\u03b6\u03b5\u03b9 \u03c4\u03b7\u03bd \u03b8\u03ad\u03c3\u03b7, \u03c4\u03bf \u03bc\u03ad\u03b3\u03b5\u03b8\u03bf\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03b1 \u03c5\u03c0\u03cc\u03bb\u03bf\u03b9\u03c0\u03b1 \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03c4\u03b9\u03ba\u03ac (\u03c3\u03c7\u03ae\u03bc\u03b1, \u03cc\u03c1\u03b9\u03b1, \u03c3\u03cd\u03c3\u03c4\u03b1\u03c3\u03b7, \u03b7\u03c7\u03bf\u03b3\u03ad\u03bd\u03b5\u03b9\u03b1, \u03b1\u03b3\u03b3\u03b5\u03af\u03c9\u03c3\u03b7, \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1 \u03b1\u03c0\u03bf\u03c4\u03b9\u03c4\u03b1\u03bd\u03ce\u03c3\u03b5\u03c9\u03bd) \u03c4\u03bf\u03c5 \u03ae \u03c4\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd \u03ba\u03b1\u03b9 \u03c4\u03bf\u03c5 \u03bb\u03bf\u03b9\u03c0\u03bf\u03cd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03c0\u03b1\u03c1\u03b5\u03b3\u03c7\u03cd\u03bc\u03b1\u03c4\u03bf\u03c2 \u03ba\u03b1\u03b8\u03ce\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03b1 \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03c4\u03b9\u03ba\u03ac \u03c4\u03c9\u03bd \u03bb\u03b5\u03bc\u03c6\u03b1\u03b4\u03ad\u03bd\u03c9\u03bd \u03c3\u03c4\u03b7\u03bd \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c4\u03c1\u03b1\u03c7\u03b7\u03bb\u03b9\u03ba\u03ae\u03c2 \u03bb\u03b5\u03bc\u03c6\u03b1\u03b4\u03b5\u03bd\u03bf\u03c0\u03ac\u03b8\u03b5\u03b9\u03b1\u03c2 (32). \u039f\u03b9 \u03cc\u03b6\u03bf\u03b9 \u03b4\u03b9\u03b1\u03ba\u03c1\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ac \u03c9\u03c2 \u03c0\u03c1\u03bf\u03c2 \u03c4\u03b7\u03bd \u03c3\u03cd\u03c3\u03c4\u03b1\u03c3\u03b7 \u03c4\u03bf\u03c5\u03c2 \u03c3\u03b5 \u03c3\u03c5\u03bc\u03c0\u03b1\u03b3\u03b5\u03af\u03c2 (\u03cc\u03c4\u03b1\u03bd \u03c4\u03bf \u03ba\u03c5\u03c3\u03c4\u03b9\u03ba\u03cc \u03c3\u03c4\u03bf\u03b9\u03c7\u03b5\u03af\u03bf \u03b1\u03c0\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03b5\u03b9 \u03ae \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03bb\u03ac\u03c7\u03b9\u03c3\u03c4\u03bf), \u03c3\u03b5 \u03bc\u03b5\u03b9\u03ba\u03c4\u03bf\u03cd\u03c2 (\u03cc\u03c4\u03b1\u03bd \u03c3\u03c5\u03bd\u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03ba\u03c5\u03c3\u03c4\u03b9\u03ba\u03cc \u03ba\u03b1\u03b9 \u03c3\u03c5\u03bc\u03c0\u03b1\u03b3\u03ad\u03c2 \u03c3\u03c4\u03bf\u03b9\u03c7\u03b5\u03af\u03bf) \u03ba\u03b1\u03b9 \u03c3\u03b5 \u03ba\u03c5\u03c3\u03c4\u03b9\u03ba\u03bf\u03cd\u03c2 (\u03cc\u03c4\u03b1\u03bd \u03ba\u03c5\u03c1\u03b9\u03b1\u03c1\u03c7\u03b5\u03af \u03c4\u03bf \u03ba\u03c5\u03c3\u03c4\u03b9\u03ba\u03cc \u03c3\u03c4\u03bf\u03b9\u03c7\u03b5\u03af\u03bf). \u039f\u03b9 \u03b1\u03bc\u03b9\u03b3\u03ce\u03c2 \u03ba\u03c5\u03c3\u03c4\u03b9\u03ba\u03bf\u03af \u03cc\u03b6\u03bf\u03b9 \u03ba\u03b1\u03b9 \u03bf\u03b9 \u03bc\u03b9\u03ba\u03c1\u03bf\u03af (\u03b4\u03b9\u03b1\u03bc\u03ad\u03c4\u03c1\u03bf\u03c5 &lt;2,0cm) \u03c3\u03c0\u03bf\u03b3\u03b3\u03cc\u03bc\u03bf\u03c1\u03c6\u03bf\u03b9 \u03cc\u03b6\u03bf\u03b9 (\u03c0\u03bf\u03bb\u03bb\u03b1\u03c0\u03bb\u03bf\u03af \u03ba\u03c5\u03c3\u03c4\u03b9\u03ba\u03bf\u03af \u03c7\u03ce\u03c1\u03bf\u03b9 \u03c3\u03c4\u03bf \u03b5\u03c3\u03c9\u03c4\u03b5\u03c1\u03b9\u03ba\u03cc \u03c4\u03bf\u03c5 \u03cc\u03b6\u03bf\u03c5, \u03c0\u03bf\u03c5 \u03c7\u03c9\u03c1\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03bb\u03b5\u03c0\u03c4\u03ac \u03b4\u03b9\u03b1\u03c6\u03c1\u03b1\u03b3\u03bc\u03ac\u03c4\u03b9\u03b1) (<b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 7<\/b>) \u03b8\u03b5\u03c9\u03c1\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03ba\u03b1\u03bb\u03bf\u03ae\u03b8\u03b5\u03b9\u03c2 (32-34). \u039f\u03b9 \u03cc\u03b6\u03bf\u03b9 \u03b4\u03b9\u03b1\u03ba\u03c1\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c9\u03c2 \u03c0\u03c1\u03bf\u03c2 \u03c4\u03b7\u03bd \u03b7\u03c7\u03bf\u03b3\u03ad\u03bd\u03b5\u03b9\u03b1 \u03c3\u03b5 \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03b5\u03bd\u03b5\u03af\u03c2, \u03b9\u03c3\u03cc\u03b7\u03c7\u03bf\u03c5\u03c2, \u03c5\u03c0\u03cc\u03b7\u03c7\u03bf\u03c5\u03c2 \u03ba\u03b1\u03b9 \u03ac\u03bd\u03b7\u03c7\u03bf\u03c5\u03c2 (\u03bb\u03cc\u03b3\u03c9 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1\u03c2 \u03c5\u03b3\u03c1\u03bf\u03cd &#8211; \u03ba\u03c5\u03c3\u03c4\u03b9\u03ba\u03ad\u03c2 \u03b2\u03bb\u03ac\u03b2\u03b5\u03c2) \u03c3\u03c5\u03b3\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ac \u03bc\u03b5 \u03c4\u03bf \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03cc \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc \u03c0\u03b1\u03c1\u03ad\u03b3\u03c7\u03c5\u03bc\u03b1 (\u03c4\u03bf \u03bf\u03c0\u03bf\u03af\u03bf \u03b5\u03af\u03bd\u03b1\u03b9 \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03b5\u03bd\u03ad\u03c2 \u03c3\u03c5\u03b3\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ac \u03bc\u03b5 \u03c4\u03bf\u03c5\u03c2 \u03c4\u03c1\u03b1\u03c7\u03b7\u03bb\u03b9\u03ba\u03bf\u03cd\u03c2 \u03bc\u03c5\u03c2) (32-34). \u0395\u03bd\u03b1\u03c0\u03bf\u03b8\u03ad\u03c3\u03b5\u03b9\u03c2 \u03b1\u03c3\u03b2\u03b5\u03c3\u03c4\u03af\u03bf\u03c5 \u03c0\u03b1\u03c1\u03b1\u03c4\u03b7\u03c1\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf ~30% \u03c4\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd \u03ba\u03b1\u03b9 \u03b4\u03b9\u03b1\u03ba\u03c1\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03bc\u03b9\u03ba\u03c1\u03bf\u03b1\u03c0\u03bf\u03c4\u03b9\u03c4\u03b1\u03bd\u03ce\u03c3\u03b5\u03b9\u03c2 (<b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 8<\/b>), \u03bc\u03b1\u03ba\u03c1\u03bf\u03b1\u03c0\u03bf\u03c4\u03b9\u03c4\u03b1\u03bd\u03ce\u03c3\u03b5\u03b9\u03c2 \u03ba\u03b1\u03b9 \u03c0\u03b5\u03c1\u03b9\u03c6\u03b5\u03c1\u03b9\u03ba\u03ad\u03c2 \u03b5\u03bd\u03b1\u03c0\u03bf\u03b8\u03ad\u03c3\u03b5\u03b9\u03c2 \u03b1\u03c3\u03b2\u03b5\u03c3\u03c4\u03af\u03bf\u03c5 \u03b5\u03bd \u03b5\u03af\u03b4\u03b7 \u03ba\u03b5\u03bb\u03cd\u03c6\u03bf\u03c5\u03c2 \u03b1\u03c5\u03b3\u03bf\u03cd (eggshell calcifications) (<b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 9<\/b>) (32-34). \u0397 \u03c0\u03b5\u03c1\u03b9\u03c6\u03b5\u03c1\u03b9\u03ba\u03ae \u03ac\u03bb\u03c9\u03c2 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03cc \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03c4\u03b9\u03ba\u03cc \u03c0\u03bf\u03c5 \u03c0\u03b1\u03c1\u03b1\u03c4\u03b7\u03c1\u03b5\u03af\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf\u03c5\u03c2 \u03bc\u03b9\u03c3\u03bf\u03cd\u03c2 \u03c0\u03b5\u03c1\u03af\u03c0\u03bf\u03c5 \u03cc\u03b6\u03bf\u03c5\u03c2, \u03c9\u03c2 \u03b4\u03b1\u03ba\u03c4\u03c5\u03bb\u03b9\u03bf\u03b5\u03b9\u03b4\u03ae\u03c2 \u03c5\u03c0\u03bf\u03b7\u03c7\u03bf\u03b3\u03ad\u03bd\u03b5\u03b9\u03b1 \u03c0\u03bf\u03c5 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03c0\u03b5\u03c1\u03b9\u03b2\u03ac\u03bb\u03bb\u03b5\u03b9 \u03c0\u03bb\u03ae\u03c1\u03c9\u03c2 \u03ae \u03b1\u03c4\u03b5\u03bb\u03ce\u03c2 \u03ad\u03bd\u03b1\u03bd \u03cc\u03b6\u03bf (<b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 10<\/b>) (32-34). \u0398\u03b5\u03c9\u03c1\u03b5\u03af\u03c4\u03b1\u03b9 \u03cc\u03c4\u03b9 \u03c0\u03c1\u03bf\u03ba\u03cd\u03c0\u03c4\u03b5\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03c3\u03c5\u03bc\u03c0\u03af\u03b5\u03c3\u03b7 \u03c4\u03c9\u03bd \u03b1\u03b9\u03bc\u03bf\u03c6\u03cc\u03c1\u03c9\u03bd \u03b1\u03b3\u03b3\u03b5\u03af\u03c9\u03bd \u03b3\u03cd\u03c1\u03c9 \u03b1\u03c0\u03cc \u03c4\u03bf\u03bd \u03cc\u03b6\u03bf \u03ba\u03b1\u03b9 \u03b5\u03bd\u03b4\u03b5\u03c7\u03bf\u03bc\u03ad\u03bd\u03c9\u03c2 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03b1\u03bd\u03ac\u03c0\u03c4\u03c5\u03be\u03b7 \u03c7\u03c1\u03cc\u03bd\u03b9\u03b1\u03c2 \u03c6\u03bb\u03b5\u03b3\u03bc\u03bf\u03bd\u03ce\u03b4\u03bf\u03c5\u03c2 \u03b4\u03b9\u03b5\u03c1\u03b3\u03b1\u03c3\u03af\u03b1\u03c2 \u03ba\u03b1\u03b9 \u03c3\u03c5\u03bd\u03b4\u03b5\u03c4\u03b9\u03ba\u03bf\u03cd \u03b9\u03c3\u03c4\u03bf\u03cd \u03b3\u03cd\u03c1\u03c9 \u03b1\u03c0\u03cc \u03c4\u03bf\u03bd \u03cc\u03b6\u03bf (34). \u0397 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1 \u03bb\u03b5\u03c0\u03c4\u03ae\u03c2, \u03bf\u03bc\u03b1\u03bb\u03ae\u03c2 \u03ac\u03bb\u03c9 \u03c3\u03b5 \u03ad\u03bd\u03b1\u03bd \u03cc\u03b6\u03bf \u03b8\u03b5\u03c9\u03c1\u03b5\u03af\u03c4\u03b1\u03b9 \u03b5\u03bd\u03b4\u03b5\u03b9\u03ba\u03c4\u03b9\u03ba\u03ae \u03ba\u03b1\u03bb\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1\u03c2. \u03a4\u03bf \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03b4\u03af\u03bd\u03b5\u03b9 \u03c0\u03bb\u03b7\u03c1\u03bf\u03c6\u03bf\u03c1\u03af\u03b5\u03c2 \u03ba\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b1\u03b3\u03b3\u03b5\u03af\u03c9\u03c3\u03b7 \u03c4\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd \u03bc\u03b5 \u03c4\u03bf \u03ad\u03b3\u03c7\u03c1\u03c9\u03bc\u03bf Doppler \u03c1\u03bf\u03ae\u03c2, \u03b7 \u03bf\u03c0\u03bf\u03af\u03b1 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b1\u03c0\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03b5\u03b9 \u03c3\u03b5 \u03ba\u03c5\u03c3\u03c4\u03b9\u03ba\u03bf\u03cd\u03c2 \u03cc\u03b6\u03bf\u03c5\u03c2, \u03bd\u03b1 \u03b1\u03c6\u03bf\u03c1\u03ac \u03ba\u03c5\u03c1\u03af\u03c9\u03c2 \u03c4\u03b7\u03bd \u03c0\u03b5\u03c1\u03b9\u03c6\u03ad\u03c1\u03b5\u03b9\u03b1 \u03c4\u03bf\u03c5 \u03cc\u03b6\u03bf\u03c5 \u03ae \u03bd\u03b1 \u03ba\u03c5\u03c1\u03b9\u03b1\u03c1\u03c7\u03b5\u03af \u03c3\u03c4\u03bf \u03b5\u03c3\u03c9\u03c4\u03b5\u03c1\u03b9\u03ba\u03cc \u03c4\u03bf\u03c5 \u03cc\u03b6\u03bf\u03c5 (32,34). \u03a5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ac \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03c4\u03b9\u03ba\u03ac \u03c4\u03bf\u03c5 \u03ae \u03c4\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd \u03c0\u03bf\u03c5 \u03c3\u03c5\u03bd\u03b7\u03b3\u03bf\u03c1\u03bf\u03cd\u03bd \u03b3\u03b9\u03b1 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c4\u03b1 \u03b5\u03be\u03ae\u03c2: \u03c5\u03c0\u03bf\u03b7\u03c7\u03bf\u03b3\u03ad\u03bd\u03b5\u03b9\u03b1, \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7 \u03b5\u03c3\u03c9\u03c4\u03b5\u03c1\u03b9\u03ba\u03ae \u03b1\u03b3\u03b3\u03b5\u03af\u03c9\u03c3\u03b7 \u03cc\u03b6\u03bf\u03c5, \u03b1\u03bd\u03ce\u03bc\u03b1\u03bb\u03b1 \u03ba\u03b1\u03b9 \u03b1\u03c3\u03b1\u03c6\u03ae \u03cc\u03c1\u03b9\u03b1 \u03cc\u03b6\u03bf\u03c5, \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1 \u03bc\u03b9\u03ba\u03c1\u03bf\u03b1\u03c0\u03bf\u03c4\u03b9\u03c4\u03b1\u03bd\u03ce\u03c3\u03b5\u03c9\u03bd \u03ba\u03b1\u03b9 \u03b1\u03c0\u03bf\u03c5\u03c3\u03af\u03b1 \u03c0\u03b5\u03c1\u03b9\u03c6\u03b5\u03c1\u03b9\u03ba\u03ae\u03c2 \u03ac\u03bb\u03c9 (32- 34). \u0395\u03c0\u03b5\u03b9\u03b4\u03ae \u03ba\u03b1\u03bd\u03ad\u03bd\u03b1 \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03cc \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03c4\u03b9\u03ba\u03cc \u03b4\u03b5\u03bd \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03b5\u03b9 \u03b9\u03ba\u03b1\u03bd\u03bf\u03c0\u03bf\u03b9\u03b7\u03c4\u03b9\u03ba\u03ae \u03c0\u03c1\u03bf\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ae \u03b1\u03be\u03af\u03b1 \u03b3\u03b9\u03b1 \u03c4\u03bf \u03b5\u03bd\u03b4\u03b5\u03c7\u03cc\u03bc\u03b5\u03bd\u03bf \u03ba\u03b1\u03ba\u03bf\u03b7\u03b8\u03b5\u03af\u03b1\u03c2, \u03ad\u03c7\u03bf\u03c5\u03bd \u03c0\u03c1\u03bf\u03c4\u03b1\u03b8\u03b5\u03af \u03c3\u03c5\u03c3\u03c4\u03ae\u03bc\u03b1\u03c4\u03b1 \u03c4\u03b1\u03be\u03b9\u03bd\u03cc\u03bc\u03b7\u03c3\u03b7\u03c2 \u03bc\u03b5 \u03b2\u03ac\u03c3\u03b7 \u03c4\u03bf\u03bd \u03c3\u03c5\u03bd\u03b4\u03c5\u03b1\u03c3\u03bc\u03cc \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ce\u03bd \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03c4\u03b9\u03ba\u03ce\u03bd \u03c4\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03ba\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7 \u03b5\u03ba\u03c4\u03af\u03bc\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03ba\u03b9\u03bd\u03b4\u03cd\u03bd\u03bf\u03c5 \u03ba\u03b1\u03ba\u03bf\u03b7\u03b8\u03b5\u03af\u03b1\u03c2 (35-37).<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><em><strong><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-955\" alt=\"10.19-figure7\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure7.jpg\" width=\"653\" height=\"503\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure7.jpg 653w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure7-300x231.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure7-624x480.jpg 624w\" sizes=\"(max-width: 653px) 100vw, 653px\" \/><br \/>\n\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 7<\/strong><\/em>. \u03a3\u03c0\u03bf\u03b3\u03b3\u03cc\u03bc\u03bf\u03c1\u03c6\u03bf\u03c2 \u03cc\u03b6\u03bf\u03c2.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><em><strong><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-956\" alt=\"10.19-figure8\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure8.jpg\" width=\"527\" height=\"515\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure8.jpg 527w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure8-300x293.jpg 300w\" sizes=\"(max-width: 527px) 100vw, 527px\" \/><br \/>\n\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 8.<\/strong><\/em> \u038c\u03b6\u03bf\u03c2 \u03bc\u03b5 \u03bc\u03b9\u03ba\u03c1\u03bf\u03b1\u03c0\u03bf\u03c4\u03b9\u03c4\u03b1\u03bd\u03ce\u03c3\u03b5\u03b9\u03c2.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><em><strong><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-957\" alt=\"10.19-figure9\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure9.jpg\" width=\"500\" height=\"648\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure9.jpg 500w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure9-231x300.jpg 231w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><br \/>\n\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 9.<\/strong><\/em> \u038c\u03b6\u03bf\u03c2 \u03bc\u03b5 \u03c0\u03b5\u03c1\u03b9\u03c6\u03b5\u03c1\u03b9\u03ba\u03ad\u03c2 \u03b5\u03bd\u03b1\u03c0\u03bf\u03b8\u03ad\u03c3\u03b5\u03b9\u03c2 \u03b1\u03c3\u03b2\u03b5\u03c3\u03c4\u03af\u03bf\u03c5 \u03b5\u03bd \u03b5\u03af\u03b4\u03b7 \u03ba\u03b5\u03bb\u03cd\u03c6\u03bf\u03c5\u03c2 \u03b1\u03c5\u03b3\u03bf\u03cd (eggshell calcifications).<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-958\" alt=\"10.19-figure10\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure10.jpg\" width=\"650\" height=\"359\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure10.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure10-300x165.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.19-figure10-624x344.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p style=\"text-align: justify;\"><em><strong>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 10.<\/strong><\/em> \u03b1) \u03a5\u03c0\u03cc\u03b7\u03c7\u03b7 \u03ac\u03bb\u03c9\u03c2 \u03c0\u03b5\u03c1\u03b9\u03b2\u03ac\u03bb\u03bb\u03bf\u03c5\u03c3\u03b1 \u03b1\u03c4\u03b5\u03bb\u03ce\u03c2 \u03ad\u03bd\u03b1\u03bd \u03c3\u03c5\u03bc\u03c0\u03b1\u03b3\u03ae \u03cc\u03b6\u03bf \u03ba\u03b1\u03b9 \u03b2) \u03c0\u03bb\u03ae\u03c1\u03c9\u03c2 \u03ad\u03bd\u03b1\u03bd \u03cc\u03b6\u03bf \u03bc\u03b5\u03b9\u03ba\u03c4\u03ae\u03c2 \u03c5\u03c6\u03ae\u03c2 (\u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1 \u03bc\u03b9\u03ba\u03c1\u03bf\u03ba\u03c5\u03c3\u03c4\u03b9\u03ba\u03ce\u03bd \u03c3\u03c4\u03bf\u03b9\u03c7\u03b5\u03af\u03c9\u03bd).<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\">\u0397 \u03b5\u03bb\u03b1\u03c3\u03c4\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1, \u03b7 \u03bf\u03c0\u03bf\u03af\u03b1 \u03ad\u03c7\u03b5\u03b9 \u03b1\u03bd\u03b1\u03c0\u03c4\u03c5\u03c7\u03b8\u03b5\u03af \u03c4\u03b5\u03bb\u03b5\u03c5\u03c4\u03b1\u03af\u03b1, \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ae \u03c4\u03b5\u03c7\u03bd\u03b9\u03ba\u03ae \u03c0\u03bf\u03c5 \u03b5\u03c0\u03b9\u03c4\u03c1\u03ad\u03c0\u03b5\u03b9 \u03c4\u03b7\u03bd \u03b5\u03ba\u03c4\u03af\u03bc\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b2\u03b1\u03b8\u03bc\u03bf\u03cd \u03b1\u03ba\u03b1\u03bc\u03c8\u03af\u03b1\u03c2 \u03b5\u03bd\u03cc\u03c2 \u03bf\u03c1\u03b3\u03ac\u03bd\u03bf\u03c5 \u03ae \u03b9\u03c3\u03c4\u03bf\u03cd (38). \u0394\u03b5\u03b4\u03bf\u03bc\u03ad\u03bd\u03bf\u03c5 \u03cc\u03c4\u03b9 \u03bf\u03b9 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03c2 \u03b5\u03be\u03b5\u03c1\u03b3\u03b1\u03c3\u03af\u03b5\u03c2 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03bf\u03c5\u03bd \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03bf\u03cd \u03b2\u03b1\u03b8\u03bc\u03bf\u03cd \u03b1\u03ba\u03b1\u03bc\u03c8\u03af\u03b1, \u03b7 \u03b5\u03bb\u03b1\u03c3\u03c4\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1 \u03ad\u03c7\u03b5\u03b9 \u03b8\u03ad\u03c3\u03b7 \u03c3\u03c4\u03b7\u03bd \u03b4\u03b9\u03ac\u03ba\u03c1\u03b9\u03c3\u03b7 \u03bc\u03b5\u03c4\u03b1\u03be\u03cd \u03ba\u03b1\u03bb\u03bf\u03ae\u03b8\u03c9\u03bd \u03ba\u03b1\u03b9 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03c9\u03bd \u03b5\u03be\u03b5\u03c1\u03b3\u03b1\u03c3\u03b9\u03ce\u03bd \u03c3\u03b5 \u03b4\u03b9\u03ac\u03c6\u03bf\u03c1\u03b1 \u03cc\u03c1\u03b3\u03b1\u03bd\u03b1 \u03bc\u03b5\u03c4\u03b1\u03be\u03cd \u03c4\u03c9\u03bd \u03bf\u03c0\u03bf\u03af\u03c9\u03bd \u03c3\u03c5\u03bc\u03c0\u03b5\u03c1\u03b9\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03c4\u03b1\u03b9 \u03ba\u03b1\u03b9 \u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae\u03c2 (39,40). \u03a7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c5\u03c8\u03b7\u03bb\u03ae \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1 \u03ba\u03b1\u03b9 \u03b5\u03b9\u03b4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b5\u03ba\u03c4\u03af\u03bc\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03ba\u03b9\u03bd\u03b4\u03cd\u03bd\u03bf\u03c5 \u03ba\u03b1\u03ba\u03bf\u03b7\u03b8\u03b5\u03af\u03b1\u03c2 \u03cc\u03b6\u03c9\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 (41), \u03bc\u03b5 \u03c4\u03b7\u03bd \u03c0\u03c1\u03bf\u03cb\u03c0\u03cc\u03b8\u03b5\u03c3\u03b7 \u03cc\u03c4\u03b9 \u03bf \u03b5\u03be\u03b5\u03c4\u03b1\u03b6\u03cc\u03bc\u03b5\u03bd\u03bf\u03c2 \u03cc\u03b6\u03bf\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03c5\u03bc\u03c0\u03b1\u03b3\u03ae\u03c2 \u03ba\u03b1\u03b9 \u03b4\u03b5\u03bd \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03b5\u03b9 \u03b1\u03b4\u03c1\u03ad\u03c2 \u03b1\u03c0\u03bf\u03c4\u03b9\u03c4\u03b1\u03bd\u03ce\u03c3\u03b5\u03b9\u03c2 (40).<\/p>\n<p style=\"text-align: justify;\">\u03a4\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03bc\u03b5 Tc<sup>99<\/sup> \u03c4\u03bf \u03bf\u03c0\u03bf\u03af\u03bf \u03ba\u03c5\u03c1\u03b9\u03ac\u03c1\u03c7\u03b7\u03c3\u03b5 \u03c9\u03c2 \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03ae \u03bc\u03ad\u03b8\u03bf\u03b4\u03bf\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c4\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03bc\u03ad\u03c7\u03c1\u03b9 \u03c4\u03b7\u03bd \u03b4\u03b5\u03ba\u03b1\u03b5\u03c4\u03af\u03b1 \u03c4\u03bf\u03c5 \u201980 \u03ad\u03c7\u03b5\u03b9 \u03c0\u03bb\u03ad\u03bf\u03bd \u03c0\u03b5\u03c1\u03b9\u03bf\u03c1\u03b9\u03c3\u03c4\u03b5\u03af \u03c3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03bf\u03b6\u03ce\u03b4\u03b7 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae \u03bd\u03cc\u03c3\u03bf \u03ba\u03b1\u03b9 \u03c5\u03c0\u03bf\u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03cc \u03ae \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03cc \u03c5\u03c0\u03b5\u03c1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03cc (26,27), \u03ba\u03b1\u03b8\u03ce\u03c2 \u03ba\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b1\u03bd\u03ac\u03b4\u03b5\u03b9\u03be\u03b7 \u03b1\u03c5\u03c4\u03bf\u03bd\u03bf\u03bc\u03af\u03b1\u03c2 (\u03b8\u03b5\u03c1\u03bc\u03ce\u03bd \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ce\u03bd) \u03c3\u03b5 \u03b5\u03c5\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd\u03c2 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03b5\u03b9\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b5\u03c2, \u03ba\u03c5\u03c1\u03af\u03c9\u03c2 \u03c3\u03b5 \u03b9\u03c9\u03b4\u03bf\u03c0\u03b5\u03bd\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ad\u03c2 (31). \u038c\u03c0\u03c9\u03c2 \u03ad\u03c7\u03b5\u03b9 \u03b4\u03b5\u03b9\u03c7\u03b8\u03b5\u03af \u03c3\u03b5 \u03c0\u03bb\u03b7\u03b8\u03ce\u03c1\u03b1 \u03c0\u03b1\u03bb\u03b1\u03b9\u03bf\u03c4\u03ad\u03c1\u03c9\u03bd \u03bc\u03b5\u03bb\u03b5\u03c4\u03ce\u03bd \u03bf\u03b9 \u03b8\u03b5\u03c1\u03bc\u03bf\u03af \u03cc\u03b6\u03bf\u03b9 \u03c3\u03c0\u03b1\u03bd\u03af\u03c9\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03c2, \u03c3\u03b5 \u03b1\u03bd\u03c4\u03af\u03b8\u03b5\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03bf\u03c5\u03c2 \u03c8\u03c5\u03c7\u03c1\u03bf\u03cd\u03c2 \u03cc\u03b6\u03bf\u03c5\u03c2 \u03cc\u03c0\u03bf\u03c5 \u03b7 \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03ba\u03b1\u03ba\u03bf\u03b7\u03b8\u03b5\u03af\u03b1\u03c2 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b5\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc 3%-16% (7,22,42). \u0397 \u03c0\u03c1\u03bf\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ae \u03b1\u03be\u03af\u03b1 \u03c4\u03bf\u03c5 \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03bc\u03b5 Tc<sup>99<\/sup> \u03c3\u03c4\u03b7\u03bd \u03b5\u03ba\u03c4\u03af\u03bc\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03ba\u03b1\u03ba\u03bf\u03b7\u03b8\u03b5\u03af\u03b1\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c7\u03b1\u03bc\u03b7\u03bb\u03ae \u03b4\u03b5\u03b4\u03bf\u03bc\u03ad\u03bd\u03bf\u03c5 \u03c4\u03bf\u03c5 \u03bc\u03b9\u03ba\u03c1\u03bf\u03cd \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03bf\u03cd \u03ba\u03b1\u03ba\u03bf\u03b7\u03b8\u03b5\u03af\u03b1\u03c2 \u03c4\u03c9\u03bd \u03c8\u03c5\u03c7\u03c1\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd \u03ba\u03b1\u03b9 \u03c4\u03b7\u03c2 \u03c7\u03b1\u03bc\u03b7\u03bb\u03ae\u03c2 \u03b4\u03b9\u03b1\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae\u03c2 \u03b9\u03ba\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2 \u03c4\u03b7\u03c2 \u03bc\u03b5\u03b8\u03cc\u03b4\u03bf\u03c5 (\u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03af\u03c3\u03b9\u03bc\u03bf\u03b9 \u03bf\u03b9 \u03cc\u03b6\u03bf\u03b9 &gt;1,0 cm) (31). \u0395\u03c0\u03af\u03c3\u03b7\u03c2, \u03cc\u03c0\u03c9\u03c2 \u03ae\u03b4\u03b7 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b8\u03b7\u03ba\u03b5 \u03ad\u03c7\u03b5\u03b9 \u03ad\u03bd\u03b4\u03b5\u03b9\u03be\u03b7 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03bf\u03b6\u03ce\u03b4\u03bf\u03c5\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7\u03c2 \u03bc\u03b5 \u03c4\u03ac\u03c3\u03b7 \u00ab\u03ba\u03b1\u03c4\u03b1\u03b4\u03cd\u03c3\u03b5\u03c9\u03c2\u00bb \u03c0\u03c1\u03bf\u03c2 \u03c4\u03b7\u03bd \u03b8\u03c9\u03c1\u03b1\u03ba\u03b9\u03ba\u03ae \u03ba\u03bf\u03b9\u03bb\u03cc\u03c4\u03b7\u03c4\u03b1.<\/p>\n<p style=\"text-align: justify;\">\u0397 \u03b1\u03be\u03bf\u03bd\u03b9\u03ba\u03ae \u03ba\u03b1\u03b9 \u03b7 \u03bc\u03b1\u03b3\u03bd\u03b7\u03c4\u03b9\u03ba\u03ae \u03c4\u03bf\u03bc\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1 \u03c4\u03c1\u03b1\u03c7\u03ae\u03bb\u03bf\u03c5 \u03b5\u03bd\u03b4\u03b5\u03af\u03ba\u03bd\u03c5\u03bd\u03c4\u03b1\u03b9 \u03bc\u03cc\u03bd\u03bf \u03c3\u03b5 \u03b5\u03c0\u03b9\u03bb\u03b5\u03b3\u03bc\u03ad\u03bd\u03b5\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd \u03bc\u03b5 \u03b5\u03c5\u03bc\u03b5\u03b3\u03ad\u03b8\u03b5\u03b9\u03c2 \u03bf\u03b6\u03ce\u03b4\u03b5\u03b9\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b5\u03c2 \u03ae\/\u03ba\u03b1\u03b9 \u03c0\u03b9\u03b5\u03c3\u03c4\u03b9\u03ba\u03ac \u03c6\u03b1\u03b9\u03bd\u03cc\u03bc\u03b5\u03bd\u03b1 \u03c0\u03c1\u03bf\u03ba\u03b5\u03b9\u03bc\u03ad\u03bd\u03bf\u03c5 \u03bd\u03b1 \u03b5\u03ba\u03c4\u03b9\u03bc\u03b7\u03b8\u03b5\u03af \u03b7 \u03c3\u03c7\u03ad\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae\u03c2 \u03b4\u03b9\u03cc\u03b3\u03ba\u03c9\u03c3\u03b7\u03c2 \u03bc\u03b5 \u03c4\u03b9\u03c2 \u03b3\u03b5\u03b9\u03c4\u03bf\u03bd\u03b9\u03ba\u03ad\u03c2 \u03b1\u03bd\u03b1\u03c4\u03bf\u03bc\u03b9\u03ba\u03ad\u03c2 \u03b4\u03bf\u03bc\u03ad\u03c2 \u03ba\u03b1\u03b9 \u03b7 \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b4\u03b9\u03ae\u03b8\u03b7\u03c3\u03b7\u03c2 \u03b1\u03c5\u03c4\u03ce\u03bd, \u03ba\u03b1\u03b8\u03ce\u03c2 \u03ba\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u00ab\u03ba\u03b1\u03c4\u03b1\u03b4\u03c5\u03bf\u03bc\u03ad\u03bd\u03b7\u03c2\u00bb \u03c3\u03c4\u03b7\u03bd \u03b8\u03c9\u03c1\u03b1\u03ba\u03b9\u03ba\u03ae \u03ba\u03bf\u03b9\u03bb\u03cc\u03c4\u03b7\u03c4\u03b1 (\u03bf\u03c0\u03b9\u03c3\u03b8\u03bf\u03c3\u03c4\u03b5\u03c1\u03bd\u03b9\u03ba\u03ae\u03c2) \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7\u03c2 (31). \u0395\u03c0\u03af\u03c3\u03b7\u03c2, \u03bc\u03b5 \u03c4\u03b9\u03c2 \u03b1\u03bd\u03c9\u03c4\u03ad\u03c1\u03c9 \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03ad\u03c2 \u03bc\u03b5\u03b8\u03cc\u03b4\u03bf\u03c5\u03c2 \u03b5\u03bb\u03ad\u03b3\u03c7\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bb\u03b5\u03c0\u03c4\u03bf\u03bc\u03b5\u03c1\u03ad\u03c3\u03c4\u03b5\u03c1\u03b1 \u03bf\u03b9 \u03bb\u03b5\u03bc\u03c6\u03b1\u03b4\u03b5\u03bd\u03b9\u03ba\u03ad\u03c2 \u03b4\u03b9\u03bf\u03b3\u03ba\u03ce\u03c3\u03b5\u03b9\u03c2.<\/p>\n<h6 style=\"text-align: justify;\"><b>6.2.5. \u03a0\u03b1\u03c1\u03b1\u03ba\u03ad\u03bd\u03c4\u03b7\u03c3\u03b7 \u03bc\u03b5 \u03bb\u03b5\u03c0\u03c4\u03ae \u03b2\u03b5\u03bb\u03cc\u03bd\u03b1 (<\/b><b>FNA<\/b><b>)<\/b><\/h6>\n<p style=\"text-align: justify;\">\u0397 \u03c0\u03b1\u03c1\u03b1\u03ba\u03ad\u03bd\u03c4\u03b7\u03c3\u03b7 \u03bc\u03b5 \u03bb\u03b5\u03c0\u03c4\u03ae (\u03b4\u03b9\u03ac\u03bc\u03b5\u03c4\u03c1\u03bf\u03c2 25-27 gauge) \u03b2\u03b5\u03bb\u03cc\u03bd\u03b1 (fine needle aspiration, FNA) \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03c4\u03b7\u03bd \u03c0\u03bb\u03ad\u03bf\u03bd \u03b1\u03ba\u03c1\u03b9\u03b2\u03ae \u03ba\u03b1\u03b9 \u03c0\u03bb\u03b5\u03bf\u03bd\u03b5\u03ba\u03c4\u03b9\u03ba\u03ae \u03bc\u03ad\u03b8\u03bf\u03b4\u03bf \u03b1\u03c0\u03cc \u03c0\u03bb\u03b5\u03c5\u03c1\u03ac\u03c2 \u03c9\u03c6\u03ad\u03bb\u03bf\u03c5\u03c2\/\u03ba\u03cc\u03c3\u03c4\u03bf\u03c5\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c4\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2. \u0395\u03c6\u03b1\u03c1\u03bc\u03cc\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c0\u03bb\u03ad\u03bf\u03bd \u03b5\u03c5\u03c1\u03cd\u03c4\u03b1\u03c4\u03b1 \u03c3\u03c4\u03b7\u03bd \u03ba\u03b1\u03b8\u03b7\u03bc\u03b5\u03c1\u03b9\u03bd\u03ae \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03c0\u03c1\u03ac\u03be\u03b7 \u03ba\u03b1\u03b9 \u03ad\u03c7\u03b5\u03b9 \u03bf\u03b4\u03b7\u03b3\u03ae\u03c3\u03b5\u03b9 \u03c3\u03b5 \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03ae \u03bc\u03b5\u03af\u03c9\u03c3\u03b7 \u03c4\u03c9\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b5\u03ba\u03c4\u03bf\u03bc\u03ce\u03bd \u03ba\u03b1\u03b9 \u03b1\u03bd\u03c4\u03af\u03c3\u03c4\u03bf\u03b9\u03c7\u03b1 \u03c3\u03b5 \u03b1\u03cd\u03be\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03bf\u03cd \u03ba\u03b1\u03ba\u03bf\u03b7\u03b8\u03b5\u03af\u03b1\u03c2 \u03c3\u03c4\u03b9\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b5\u03ba\u03c4\u03bf\u03bc\u03ad\u03c2, \u03bb\u03cc\u03b3\u03c9 \u03ba\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7\u03c2 \u03b5\u03c0\u03b9\u03bb\u03bf\u03b3\u03ae\u03c2 \u03c0\u03c1\u03bf\u03c2 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03ce\u03c0\u03b9\u03c3\u03b7 \u03c4\u03c9\u03bd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd \u03bc\u03b5 \u03bf\u03b6\u03ce\u03b4\u03b7 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae \u03bd\u03cc\u03c3\u03bf \u03ba\u03b1\u03b9 \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03bf \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf \u03ae \u03b2\u03b5\u03b2\u03b1\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1 \u03ba\u03b1\u03ba\u03bf\u03b7\u03b8\u03b5\u03af\u03b1\u03c2 (1,9,10,17,18,43,44).<\/p>\n<p style=\"text-align: justify;\">\u03a3\u03cd\u03bc\u03c6\u03c9\u03bd\u03b1 \u03bc\u03b5 \u03c4\u03b9\u03c2 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b9\u03b5\u03c2 \u03bf\u03b4\u03b7\u03b3\u03af\u03b5\u03c2 \u03c4\u03c9\u03bd \u0395\u03c0\u03b9\u03c3\u03c4\u03b7\u03bc\u03bf\u03bd\u03b9\u03ba\u03ce\u03bd \u0395\u03c4\u03b1\u03b9\u03c1\u03b5\u03b9\u03ce\u03bd \u0398\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03ad\u03bd\u03b4\u03b5\u03b9\u03be\u03b7 \u03b3\u03b9\u03b1 \u03c0\u03b1\u03c1\u03b1\u03ba\u03ad\u03bd\u03c4\u03b7\u03c3\u03b7 \u03c0\u03c1\u03bf\u03ba\u03cd\u03c0\u03c4\u03b5\u03b9 \u03b3\u03b9\u03b1 \u03ba\u03ac\u03b8\u03b5 \u03cc\u03b6\u03bf \u03b4\u03b9\u03b1\u03bc\u03ad\u03c4\u03c1\u03bf\u03c5 \u2265 1,0 cm \u03b5\u03ba\u03c4\u03cc\u03c2 \u03b5\u03ba\u03b5\u03af\u03bd\u03c9\u03bd \u03c0\u03bf\u03c5 \u03c5\u03c0\u03b5\u03c1\u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03bf\u03cd\u03bd (\u03c4\u03b5\u03ba\u03bc\u03b7\u03c1\u03b9\u03c9\u03bc\u03ad\u03bd\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ac), \u03b5\u03ba\u03b5\u03af\u03bd\u03c9\u03bd \u03c0\u03bf\u03c5 \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c9\u03c2 \u03b1\u03bc\u03b9\u03b3\u03ce\u03c2 \u03ba\u03c5\u03c3\u03c4\u03b9\u03ba\u03bf\u03af \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ac \u03ba\u03b1\u03b9 \u03c4\u03c9\u03bd \u03c3\u03c0\u03bf\u03b3\u03b3\u03cc\u03bc\u03bf\u03c1\u03c6\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd \u03b4\u03b9\u03b1\u03bc\u03ad\u03c4\u03c1\u03bf\u03c5 &lt; 2,0 cm (26,27,31). \u0395\u03c0\u03af\u03c3\u03b7\u03c2, \u03ad\u03bd\u03b4\u03b5\u03b9\u03be\u03b7 \u03b3\u03b9\u03b1 \u03c0\u03b1\u03c1\u03b1\u03ba\u03ad\u03bd\u03c4\u03b7\u03c3\u03b7 \u03c0\u03c1\u03bf\u03ba\u03cd\u03c0\u03c4\u03b5\u03b9 \u03b3\u03b9\u03b1 \u03ba\u03ac\u03b8\u03b5 \u03cc\u03b6\u03bf \u03b4\u03b9\u03b1\u03bc\u03ad\u03c4\u03c1\u03bf\u03c5 &lt; 1,0 cm \u03bc\u03b5 \u03cd\u03c0\u03bf\u03c0\u03c4\u03b1 \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ac \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03c4\u03b9\u03ba\u03ac \u03ae\/\u03ba\u03b1\u03b9 \u03b9\u03c3\u03c4\u03bf\u03c1\u03b9\u03ba\u03cc \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2 \u03bc\u03b5 \u03c5\u03c8\u03b7\u03bb\u03cc \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf (26,27,31), \u03cc\u03c0\u03c9\u03c2 \u03ad\u03c7\u03bf\u03c5\u03bd \u03c0\u03c1\u03bf\u03b1\u03bd\u03b1\u03c6\u03b5\u03c1\u03b8\u03b5\u03af. \u0395\u03c0\u03af \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1\u03c2 \u03c0\u03bf\u03bb\u03bb\u03b1\u03c0\u03bb\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd \u03b8\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b5\u03be\u03b5\u03c4\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03b7 \u03ad\u03bd\u03b4\u03b5\u03b9\u03be\u03b7 \u03b3\u03b9\u03b1 FNA \u03b3\u03b9\u03b1 \u03ba\u03ac\u03b8\u03b5 \u03cc\u03b6\u03bf \u03be\u03b5\u03c7\u03c9\u03c1\u03b9\u03c3\u03c4\u03ac (26,27,31). \u03a3\u03b5 \u03bf\u03b6\u03ce\u03b4\u03b5\u03b9\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b5\u03c2 \u03bc\u03b5 \u03b8\u03b5\u03c1\u03bc\u03ad\u03c2 \u03ba\u03b1\u03b9 \u03c8\u03c5\u03c7\u03c1\u03ad\u03c2 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ad\u03c2 \u03c3\u03c4\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1, \u03b7 \u03ad\u03bd\u03b4\u03b5\u03b9\u03be\u03b7 \u03b3\u03b9\u03b1 \u03c0\u03b1\u03c1\u03b1\u03ba\u03ad\u03bd\u03c4\u03b7\u03c3\u03b7 \u03b8\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b5\u03be\u03b5\u03c4\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03c4\u03bf\u03c5\u03c2 \u03c8\u03c5\u03c7\u03c1\u03bf\u03cd\u03c2 \u03ba\u03b1\u03b9 \u03c7\u03bb\u03b9\u03b1\u03c1\u03bf\u03cd\u03c2 \u03cc\u03b6\u03bf\u03c5\u03c2 \u03c3\u03b5 \u03c3\u03c5\u03bd\u03b4\u03c5\u03b1\u03c3\u03bc\u03cc \u03bc\u03b5 \u03c4\u03b1 \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ac \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1 (26,27,31). \u0395\u03c0\u03af\u03c3\u03b7\u03c2, \u03b5\u03c0\u03af \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1\u03c2 \u03c5\u03c0\u03cc\u03c0\u03c4\u03c9\u03bd \u03b4\u03b9\u03bf\u03b3\u03ba\u03c9\u03bc\u03ad\u03bd\u03c9\u03bd \u03bb\u03b5\u03bc\u03c6\u03b1\u03b4\u03ad\u03bd\u03c9\u03bd \u03b4\u03b9\u03b1\u03c0\u03b9\u03c3\u03c4\u03c9\u03bc\u03ad\u03bd\u03c9\u03bd \u03c8\u03b7\u03bb\u03b1\u03c6\u03b7\u03c4\u03b9\u03ba\u03ac \u03ae\/\u03ba\u03b1\u03b9 \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ac \u03b8\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b3\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 FNA \u03c4\u03c9\u03bd \u03bb\u03b5\u03bc\u03c6\u03b1\u03b4\u03ad\u03bd\u03c9\u03bd (26,27,31). \u0397 FNA \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b3\u03af\u03bd\u03b5\u03b9 \u03b5\u03af\u03c4\u03b5 \u03bc\u03b5 \u03c8\u03b7\u03bb\u03b1\u03c6\u03b7\u03c4\u03b9\u03ba\u03ae \u03ba\u03b1\u03b8\u03bf\u03b4\u03ae\u03b3\u03b7\u03c3\u03b7, \u03b5\u03c6\u2019 \u03cc\u03c3\u03bf\u03bd \u03bf \u03cc\u03b6\u03bf\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c8\u03b7\u03bb\u03b1\u03c6\u03b7\u03c4\u03cc\u03c2, \u03b5\u03af\u03c4\u03b5 \u03bc\u03b5 \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ae \u03ba\u03b1\u03b8\u03bf\u03b4\u03ae\u03b3\u03b7\u03c3\u03b7 (45). \u0397 \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ac \u03ba\u03b1\u03b8\u03bf\u03b4\u03b7\u03b3\u03bf\u03cd\u03bc\u03b5\u03bd\u03b7 FNA \u03c3\u03c5\u03bd\u03b9\u03c3\u03c4\u03ac\u03c4\u03b1\u03b9 1) \u03c3\u03b5 \u03b1\u03c8\u03b7\u03bb\u03ac\u03c6\u03b7\u03c4\u03bf\u03c5\u03c2 \u03cc\u03b6\u03bf\u03c5\u03c2 \u03b5\u03af\u03c4\u03b5 \u03bb\u03cc\u03b3\u03c9 \u03bc\u03b9\u03ba\u03c1\u03bf\u03cd \u03bc\u03b5\u03b3\u03ad\u03b8\u03bf\u03c5\u03c2 \u03ae\/\u03ba\u03b1\u03b9 \u03bb\u03cc\u03b3\u03c9 \u03b8\u03ad\u03c3\u03b7\u03c2 (\u03bf\u03c0\u03af\u03c3\u03b8\u03b9\u03b1 \u03b5\u03c0\u03b9\u03c6\u03ac\u03bd\u03b5\u03b9\u03b1 \u03bb\u03bf\u03b2\u03ce\u03bd) 2) \u03c3\u03b5 \u03ba\u03b1\u03b8\u2019\u03c5\u03c0\u03b5\u03c1\u03bf\u03c7\u03ae\u03bd \u03ba\u03c5\u03c3\u03c4\u03b9\u03ba\u03bf\u03cd\u03c2 \u03cc\u03b6\u03bf\u03c5\u03c2, \u03c0\u03c1\u03bf\u03ba\u03b5\u03b9\u03bc\u03ad\u03bd\u03bf\u03c5 \u03bd\u03b1 \u03bb\u03b7\u03c6\u03b8\u03b5\u03af \u03c5\u03bb\u03b9\u03ba\u03cc \u03b1\u03c0\u03cc \u03c4\u03bf \u03c3\u03c5\u03bc\u03c0\u03b1\u03b3\u03ad\u03c2 \u03c3\u03c4\u03bf\u03b9\u03c7\u03b5\u03af\u03bf \u03ba\u03b1\u03b9 3) \u03c3\u03b5 \u03b5\u03c0\u03b1\u03bd\u03ac\u03bb\u03b7\u03c8\u03b7 FNA \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03c0\u03c1\u03bf\u03b7\u03b3\u03bf\u03cd\u03bc\u03b5\u03bd\u03bf \u03bc\u03b7 \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03cc \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 (27,31,45). \u0397 \u03bc\u03ad\u03b8\u03bf\u03b4\u03bf\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03c0\u03b5\u03bc\u03b2\u03b1\u03c4\u03b9\u03ba\u03ae, \u03b5\u03af\u03bd\u03b1\u03b9 \u03cc\u03bc\u03c9\u03c2 \u03b1\u03c3\u03c6\u03b1\u03bb\u03ae\u03c2 \u03bc\u03b5 \u03c3\u03c0\u03ac\u03bd\u03b9\u03b5\u03c2 \u03b1\u03bd\u03b5\u03c0\u03b9\u03b8\u03cd\u03bc\u03b7\u03c4\u03b5\u03c2 \u03b5\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b5\u03c2 \u03cc\u03c0\u03c9\u03c2 \u03c0\u03cc\u03bd\u03bf\u03c2 \u03c3\u03c4\u03bf \u03c3\u03b7\u03bc\u03b5\u03af\u03bf \u03c4\u03b7\u03c2 \u03c0\u03b1\u03c1\u03b1\u03ba\u03ad\u03bd\u03c4\u03b7\u03c3\u03b7\u03c2, \u03b5\u03bc\u03c6\u03ac\u03bd\u03b9\u03c3\u03b7 \u03b5\u03ba\u03c7\u03cd\u03bc\u03c9\u03c3\u03b7\u03c2 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\u03b2\u03b5\u03bb\u03cc\u03bd\u03b1\u03c2 (46). \u0397 \u03bc\u03ad\u03b8\u03bf\u03b4\u03bf\u03c2 \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c5\u03c8\u03b7\u03bb\u03ae \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1 \u03ba\u03b1\u03b9 \u03b5\u03b9\u03b4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1, \u03b5\u03c6\u2019 \u03cc\u03c3\u03bf\u03bd \u03b3\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03ad\u03bc\u03c0\u03b5\u03b9\u03c1\u03bf \u03b9\u03b1\u03c4\u03c1\u03cc, \u03c4\u03bf \u03bb\u03b7\u03c6\u03b8\u03ad\u03bd \u03c5\u03bb\u03b9\u03ba\u03cc \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03c0\u03b1\u03c1\u03ba\u03ad\u03c2 \u03c0\u03bf\u03b9\u03bf\u03c4\u03b9\u03ba\u03ac \u03ba\u03b1\u03b9 \u03c0\u03bf\u03c3\u03bf\u03c4\u03b9\u03ba\u03ac \u03ba\u03b1\u03b9 \u03b1\u03be\u03b9\u03bf\u03bb\u03bf\u03b3\u03b5\u03af\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03ad\u03bc\u03c0\u03b5\u03b9\u03c1\u03bf 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Bethesda \u03c4\u03c9\u03bd \u0397\u03a0\u0391 (National Cancer Institute Thyroid Fine-Needle Aspiration State of the Science Conference) \u03c4\u03bf 2007, \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9: \u03c5\u03bb\u03b9\u03ba\u03cc \u03bc\u03b7 \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03cc (\u03ba\u03b1\u03c4\u03b7\u03b3\u03bf\u03c1\u03af\u03b1 \u0399), \u03ba\u03b1\u03bb\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1 (\u03ba\u03b1\u03c4\u03b7\u03b3\u03bf\u03c1\u03af\u03b1 \u0399\u0399), \u03b8\u03c5\u03bb\u03b1\u03ba\u03b9\u03ce\u03b4\u03b7\u03c2 \u03b1\u03bb\u03bb\u03bf\u03af\u03c9\u03c3\u03b7 \u03b1\u03ba\u03b1\u03b8\u03bf\u03c1\u03af\u03c3\u03c4\u03bf\u03c5 \u03c3\u03b7\u03bc\u03b1\u03c3\u03af\u03b1\u03c2 \/ \u03b1\u03c4\u03c5\u03c0\u03af\u03b1 (\u03ba\u03b1\u03c4\u03b7\u03b3\u03bf\u03c1\u03af\u03b1 \u0399\u0399\u0399), \u03b8\u03c5\u03bb\u03b1\u03ba\u03b9\u03ce\u03b4\u03b5\u03c2 \u03bd\u03b5\u03cc\u03c0\u03bb\u03b1\u03c3\u03bc\u03b1 (\u03ba\u03b1\u03c4\u03b7\u03b3\u03bf\u03c1\u03af\u03b1 \u0399V), \u03c5\u03bb\u03b9\u03ba\u03cc \u03cd\u03c0\u03bf\u03c0\u03c4\u03bf \u03b3\u03b9\u03b1 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1 (\u03ba\u03b1\u03c4\u03b7\u03b3\u03bf\u03c1\u03af\u03b1 V), \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1 (\u03ba\u03b1\u03c4\u03b7\u03b3\u03bf\u03c1\u03af\u03b1 VI) (47). \u0397 \u03ba\u03c5\u03c4\u03c4\u03b1\u03c1\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b4\u03b5\u03af\u03be\u03b5\u03b9 \u03bc\u03b7 \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03cc \u03c5\u03bb\u03b9\u03ba\u03cc \u03bb\u03cc\u03b3\u03c9 \u03c5\u03c0\u03bf\u03ba\u03c5\u03c4\u03c4\u03b1\u03c1\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2 \u03c3\u03c4\u03bf \u03b4\u03b5\u03af\u03b3\u03bc\u03b1 \u03cc\u03c0\u03c9\u03c2 \u03c3\u03b5 \u03ba\u03b1\u03b8\u2019 \u03c5\u03c0\u03b5\u03c1\u03bf\u03c7\u03ae\u03bd \u03ba\u03c5\u03c3\u03c4\u03b9\u03ba\u03bf\u03cd\u03c2 \u03cc\u03b6\u03bf\u03c5\u03c2, \u03c3\u03b5 \u03ba\u03b1\u03ba\u03ae \u03c0\u03bf\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b4\u03b5\u03af\u03b3\u03bc\u03b1\u03c4\u03bf\u03c2 (\u03b1\u03c0\u03bf\u03c5\u03c3\u03af\u03b1 \u03b8\u03c5\u03bb\u03b1\u03ba\u03b9\u03c9\u03b4\u03ce\u03bd \u03ba\u03c5\u03c4\u03c4\u03ac\u03c1\u03c9\u03bd) \u03ae\/\u03ba\u03b1\u03b9 \u03ba\u03b1\u03ba\u03ae \u03c4\u03b5\u03c7\u03bd\u03b9\u03ba\u03ae (\u03b5\u03c0\u03af\u03c3\u03c4\u03c1\u03c9\u03c3\u03b7, \u03bc\u03bf\u03bd\u03b9\u03bc\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7). \u0395\u03c0\u03b1\u03c1\u03ba\u03ad\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03ba\u03c5\u03c4\u03c4\u03b1\u03c1\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7, \u03b8\u03b5\u03c9\u03c1\u03b5\u03af\u03c4\u03b1\u03b9 \u03c4\u03bf \u03c5\u03bb\u03b9\u03ba\u03cc \u03c0\u03bf\u03c5 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03bf\u03c5\u03bb\u03ac\u03c7\u03b9\u03c3\u03c4\u03bf\u03bd 6 \u03bf\u03bc\u03ac\u03b4\u03b5\u03c2 \u03b1\u03c0\u03cc 10-20 \u03ba\u03b1\u03bb\u03ac \u03b4\u03b9\u03b1\u03c4\u03b7\u03c1\u03b7\u03bc\u03ad\u03bd\u03b1 \u03b5\u03c0\u03b9\u03b8\u03b7\u03bb\u03b9\u03b1\u03ba\u03ac \u03ba\u03cd\u03c4\u03c4\u03b1\u03c1\u03b1 \u03b7 \u03ba\u03ac\u03b8\u03b5 \u03bc\u03af\u03b1, \u03b3\u03b9\u03b1 \u03c4\u03bf\u03c5\u03c2 \u03c3\u03c5\u03bc\u03c0\u03b1\u03b3\u03b5\u03af\u03c2 \u03cc\u03b6\u03bf\u03c5\u03c2 (31, 46). \u0397 \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03ba\u03b1\u03ba\u03bf\u03b7\u03b8\u03b5\u03af\u03b1\u03c2 \u03b1\u03bd\u03ac\u03bb\u03bf\u03b3\u03b1 \u03bc\u03b5 \u03c4\u03bf \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 \u03ba\u03b1\u03c4\u03ac Bethesda \u03ad\u03c7\u03b5\u03b9 \u03c9\u03c2 \u03b5\u03be\u03ae\u03c2: \u03ba\u03b1\u03bb\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1 &#8211; 0-3% \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1\u03c2 (\u03c8\u03b5\u03c5\u03b4\u03ce\u03c2 \u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03ac), \u03b8\u03c5\u03bb\u03b1\u03ba\u03b9\u03ce\u03b4\u03b7\u03c2 \u03b1\u03bb\u03bb\u03bf\u03af\u03c9\u03c3\u03b7 \u03b1\u03ba\u03b1\u03b8\u03bf\u03c1\u03af\u03c3\u03c4\u03bf\u03c5 \u03c3\u03b7\u03bc\u03b1\u03c3\u03af\u03b1\u03c2 \/ \u03b1\u03c4\u03c5\u03c0\u03af\u03b1 &#8211; 5-15% \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1\u03c2, \u03b8\u03c5\u03bb\u03b1\u03ba\u03b9\u03ce\u03b4\u03b5\u03c2 \u03bd\u03b5\u03cc\u03c0\u03bb\u03b1\u03c3\u03bc\u03b1 &#8211; 20-30% \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1\u03c2, \u03c5\u03bb\u03b9\u03ba\u03cc \u03cd\u03c0\u03bf\u03c0\u03c4\u03bf \u03b3\u03b9\u03b1 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1 &#8211; 50-75% \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1\u03c2, \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1 &#8211; 97-100% \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1\u03c2 (0-3% \u03c8\u03b5\u03c5\u03b4\u03ce\u03c2 \u03b8\u03b5\u03c4\u03b9\u03ba\u03ac) (47,48). \u0395\u03c0\u03bf\u03bc\u03ad\u03bd\u03c9\u03c2, \u03b1\u03bd\u03ac\u03bb\u03bf\u03b3\u03b1 \u03bc\u03b5 \u03c4\u03bf \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 \u03c4\u03b7\u03c2 \u03ba\u03c5\u03c4\u03c4\u03b1\u03c1\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae\u03c2 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03ba\u03b1\u03b9 \u03b7 \u03c0\u03b5\u03c1\u03b1\u03b9\u03c4\u03ad\u03c1\u03c9 \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03ce\u03c0\u03b9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2, \u03cc\u03c0\u03c9\u03c2 \u03b8\u03b1 \u03b1\u03bd\u03b1\u03c6\u03b5\u03c1\u03b8\u03b5\u03af \u03c3\u03c4\u03b7\u03bd \u03c3\u03c5\u03bd\u03ad\u03c7\u03b5\u03b9\u03b1. \u03a0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03c3\u03b7\u03bc\u03b5\u03b9\u03c9\u03b8\u03b5\u03af \u03cc\u03c4\u03b9 \u03c3\u03c4\u03b9\u03c2 \u03c0\u03bb\u03ad\u03bf\u03bd \u03c0\u03c1\u03cc\u03c3\u03c6\u03b1\u03c4\u03b5\u03c2 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b9\u03b5\u03c2 \u03bf\u03b4\u03b7\u03b3\u03af\u03b5\u03c2 \u03c4\u03c9\u03bd \u0395\u03c0\u03b9\u03c3\u03c4\u03b7\u03bc\u03bf\u03bd\u03b9\u03ba\u03ce\u03bd \u0395\u03c4\u03b1\u03b9\u03c1\u03b9\u03ce\u03bd (27,31) \u03bf\u03b9 \u03ba\u03b1\u03c4\u03b7\u03b3\u03bf\u03c1\u03af\u03b5\u03c2 \u0399\u0399\u0399 &amp; \u0399V \u03ba\u03b1\u03c4\u03ac Bethesda \u03c0\u03bf\u03c5 \u03b1\u03c6\u03bf\u03c1\u03bf\u03cd\u03bd \u03b8\u03c5\u03bb\u03b1\u03ba\u03b9\u03ce\u03b4\u03b5\u03b9\u03c2 \u03b2\u03bb\u03ac\u03b2\u03b5\u03c2 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c9\u03c2 \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 \u03b1\u03ba\u03b1\u03b8\u03bf\u03c1\u03af\u03c3\u03c4\u03bf\u03c5 \u03c3\u03b7\u03bc\u03b1\u03c3\u03af\u03b1\u03c2 (indeterminate cytology).<\/p>\n<p style=\"text-align: justify;\">\u03a0\u03b1\u03c1\u03b1\u03ba\u03ad\u03bd\u03c4\u03b7\u03c3\u03b7 \u03cc\u03b6\u03c9\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03bc\u03b5 \u03bc\u03b5\u03b3\u03ac\u03bb\u03bf\u03c5 \u03b5\u03cd\u03c1\u03bf\u03c5\u03c2 \u03b2\u03b5\u03bb\u03cc\u03bd\u03b1 (\u03b4\u03b9\u03ac\u03bc\u03b5\u03c4\u03c1\u03bf\u03c2 \u226420 gauge) \u03c3\u03c5\u03bd\u03b9\u03c3\u03c4\u03ac\u03c4\u03b1\u03b9 \u03ba\u03c5\u03c1\u03af\u03c9\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b5\u03ba\u03ba\u03ad\u03bd\u03c9\u03c3\u03b7 \u03ba\u03c5\u03c3\u03c4\u03b9\u03ba\u03ce\u03bd \u03c3\u03c7\u03b7\u03bc\u03b1\u03c4\u03b9\u03c3\u03bc\u03ce\u03bd \u03c0\u03bf\u03c5 \u03c0\u03b5\u03c1\u03b9\u03ad\u03c7\u03bf\u03c5\u03bd \u03c0\u03b1\u03c7\u03cd\u03c1\u03c1\u03b5\u03c5\u03c3\u03c4\u03bf \u03c5\u03b3\u03c1\u03cc (31,46). \u0397 \u03c7\u03c1\u03ae\u03c3\u03b7 \u03bc\u03b5\u03b3\u03ac\u03bb\u03bf\u03c5 \u03b5\u03cd\u03c1\u03bf\u03c5\u03c2 \u03b2\u03b5\u03bb\u03cc\u03bd\u03b1\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03bb\u03ae\u03c8\u03b7 \u03b4\u03b5\u03af\u03b3\u03bc\u03b1\u03c4\u03bf\u03c2 \u03b9\u03c3\u03c4\u03bf\u03cd (core needle biopsy, CNB) \u03c3\u03c5\u03bd\u03b9\u03c3\u03c4\u03ac\u03c4\u03b1\u03b9 \u03bc\u03cc\u03bd\u03bf \u03c3\u03b5 \u03b5\u03c0\u03b9\u03bb\u03b5\u03b3\u03bc\u03ad\u03bd\u03b5\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03cc\u03b6\u03c9\u03bd \u03cc\u03c0\u03bf\u03c5 \u03b5\u03c0\u03b1\u03bd\u03b5\u03b9\u03bb\u03b7\u03bc\u03bc\u03ad\u03bd\u03b5\u03c2 FNA \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b7 \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ad\u03c2 (31,46,49) \u03ae \u03c3\u03b5 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03b1\u03c3\u03c5\u03bc\u03c6\u03c9\u03bd\u03af\u03b1\u03c2 \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ce\u03bd \u03b5\u03c5\u03c1\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd \u03ba\u03b1\u03b9 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03ad\u03c3\u03bc\u03b1\u03c4\u03bf\u03c2 FNA (31,46). \u0397 CNB \u03b4\u03b5\u03bd \u03b5\u03bd\u03b4\u03b5\u03af\u03ba\u03bd\u03c5\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03cc\u03b6\u03c9\u03bd \u03c0\u03bf\u03c5 \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c9\u03c2 \u03b8\u03c5\u03bb\u03b1\u03ba\u03b9\u03ce\u03b4\u03b5\u03b9\u03c2 \u03b1\u03bb\u03bb\u03bf\u03b9\u03ce\u03c3\u03b5\u03b9\u03c2 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc FNA, \u03ba\u03b1\u03b8\u03ce\u03c2 \u03b4\u03b5\u03bd \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03c0\u03c1\u03bf\u03c3\u03c6\u03ad\u03c1\u03b5\u03b9 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03b5\u03c2 \u03c0\u03bb\u03b7\u03c1\u03bf\u03c6\u03bf\u03c1\u03af\u03b5\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b4\u03b9\u03ac\u03ba\u03c1\u03b9\u03c3\u03b7 \u03bc\u03b5\u03c4\u03b1\u03be\u03cd \u03b8\u03c5\u03bb\u03b1\u03ba\u03b9\u03ce\u03b4\u03bf\u03c5\u03c2 \u03b1\u03b4\u03b5\u03bd\u03ce\u03bc\u03b1\u03c4\u03bf\u03c2 \u03ba\u03b1\u03b9 \u03ba\u03b1\u03c1\u03ba\u03b9\u03bd\u03ce\u03bc\u03b1\u03c4\u03bf\u03c2 (31,46,50).<\/p>\n<p style=\"text-align: justify;\">\u03a3\u03b5 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 FNA \u03bc\u03b5 \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 \u03b1\u03ba\u03b1\u03b8\u03bf\u03c1\u03af\u03c3\u03c4\u03bf\u03c5 \u03c3\u03b7\u03bc\u03b1\u03c3\u03af\u03b1\u03c2 (\u03ba\u03b1\u03c4\u03b7\u03b3\u03bf\u03c1\u03af\u03b1 \u0399\u0399\u0399 &amp; \u0399V \u03ba\u03b1\u03c4\u03ac Bethesda) \u03bf \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2 \u03b4\u03b9\u03b1\u03c6\u03cc\u03c1\u03c9\u03bd \u03bc\u03bf\u03c1\u03b9\u03b1\u03ba\u03ce\u03bd \u03b4\u03b5\u03b9\u03ba\u03c4\u03ce\u03bd \u03c3\u03c4\u03bf \u03ba\u03c5\u03c4\u03c4\u03b1\u03c1\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03cc \u03c5\u03bb\u03b9\u03ba\u03cc (51) \u03cc\u03c0\u03c9\u03c2 \u03ad\u03ba\u03c6\u03c1\u03b1\u03c3\u03b7 \u03c0\u03b1\u03c1\u03b1\u03b3\u03cc\u03bd\u03c4\u03c9\u03bd [\u03ba\u03c5\u03c4\u03c4\u03b1\u03c1\u03bf\u03ba\u03b5\u03c1\u03b1\u03c4\u03af\u03bd\u03b7-19 (CK-19), Hector Battifora mesothelial-1 (HBME-1), galectin 3 (Gal-3)] (52) \u03ae \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1 \u03c3\u03c9\u03bc\u03b1\u03c4\u03b9\u03ba\u03ce\u03bd \u03bc\u03b5\u03c4\u03b1\u03bb\u03bb\u03ac\u03be\u03b5\u03c9\u03bd (BRAF, RAS, RET\/PTC, RAS, PAX8\/PPAR\u03b3) (53) \u03b5\u03af\u03c4\u03b5 \u03b7 \u03ad\u03ba\u03c6\u03c1\u03b1\u03c3\u03b7 mRNA \u03c0\u03bf\u03bb\u03bb\u03b1\u03c0\u03bb\u03ce\u03bd \u03b3\u03bf\u03bd\u03b9\u03b4\u03af\u03c9\u03bd (gene expression classifier, GEC) (54) \u03ae \u03b7 \u03b4\u03b9\u03b1\u03c4\u03b1\u03c1\u03b1\u03c7\u03ae \u03ad\u03ba\u03c6\u03c1\u03b1\u03c3\u03b7\u03c2 microRNAs (55) \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b2\u03bf\u03b7\u03b8\u03ae\u03c3\u03b5\u03b9 \u03c3\u03c4\u03b7\u03bd \u03b4\u03b9\u03ac\u03ba\u03c1\u03b9\u03c3\u03b7 \u03bc\u03b5\u03c4\u03b1\u03be\u03cd \u03b8\u03c5\u03bb\u03b1\u03ba\u03b9\u03bf\u03ba\u03c5\u03c4\u03c4\u03b1\u03c1\u03b9\u03ba\u03bf\u03cd \u03ba\u03b1\u03c1\u03ba\u03b9\u03bd\u03ce\u03bc\u03b1\u03c4\u03bf\u03c2 \u03ba\u03b1\u03b9 \u03ba\u03b1\u03bb\u03bf\u03ae\u03b8\u03bf\u03c5\u03c2 \u03b2\u03bb\u03ac\u03b2\u03b7\u03c2. \u039f \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2 \u03b1\u03c5\u03c4\u03cc\u03c2 \u03c3\u03cd\u03bc\u03c6\u03c9\u03bd\u03b1 \u03bc\u03b5 \u03c4\u03b9\u03c2 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b9\u03b5\u03c2 \u03bf\u03b4\u03b7\u03b3\u03af\u03b5\u03c2 \u03c4\u03b7\u03c2 \u0391\u03a4\u0391 (27) \u03ba\u03b1\u03b9 \u03c4\u03c9\u03bd AACE\/AME\/ETA (31) \u03c3\u03c5\u03c3\u03c4\u03ae\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03b5\u03c0\u03b9\u03bb\u03b5\u03b3\u03bc\u03ad\u03bd\u03b5\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2.<\/p>\n<p style=\"text-align: justify;\">\u03a3\u03b5 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03c5\u03c0\u03bf\u03c8\u03af\u03b1\u03c2 \u03bc\u03c5\u03b5\u03bb\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03ba\u03b1\u03c1\u03ba\u03b9\u03bd\u03ce\u03bc\u03b1\u03c4\u03bf\u03c2 \u03bf \u03c0\u03c1\u03bf\u03c3\u03b4\u03b9\u03bf\u03c1\u03b9\u03c3\u03bc\u03cc\u03c2 \u03ba\u03b1\u03bb\u03c3\u03b9\u03c4\u03bf\u03bd\u03af\u03bd\u03b7\u03c2 \u03c3\u03c4\u03bf \u03c5\u03b3\u03c1\u03cc \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03ad\u03ba\u03c0\u03bb\u03c5\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b2\u03b5\u03bb\u03cc\u03bd\u03b1\u03c2 \u03c0\u03b1\u03c1\u03b1\u03ba\u03ad\u03bd\u03c4\u03b7\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03cc\u03b6\u03bf\u03c5 \u03bc\u03b5 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03cc \u03bf\u03c1\u03cc (needle washout), \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b2\u03bf\u03b7\u03b8\u03ae\u03c3\u03b5\u03b9 \u03c4\u03b7\u03bd \u03ba\u03c5\u03c4\u03c4\u03b1\u03c1\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7. \u0395\u03c0\u03af\u03c0\u03b5\u03b4\u03b1 \u03ba\u03b1\u03bb\u03c3\u03b9\u03c4\u03bf\u03bd\u03af\u03bd\u03b7\u03c2 &gt;100 ng\/ml \u03c3\u03c4\u03bf \u03c5\u03b3\u03c1\u03cc \u03ad\u03ba\u03c0\u03bb\u03c5\u03c3\u03b7\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03bd\u03b4\u03b5\u03b9\u03ba\u03c4\u03b9\u03ba\u03cc \u03bc\u03c5\u03b5\u03bb\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03ba\u03b1\u03c1\u03ba\u03b9\u03bd\u03ce\u03bc\u03b1\u03c4\u03bf\u03c2 (31). \u0395\u03c0\u03af \u03c4\u03c1\u03b1\u03c7\u03b7\u03bb\u03b9\u03ba\u03ce\u03bd \u03bb\u03b5\u03bc\u03c6\u03b1\u03b4\u03b5\u03bd\u03b9\u03ba\u03ce\u03bd \u03b4\u03b9\u03bf\u03b3\u03ba\u03ce\u03c3\u03b5\u03c9\u03bd \u03ba\u03b1\u03b9 \u03c5\u03c0\u03bf\u03c8\u03af\u03b1\u03c2 \u03bc\u03b5\u03c4\u03b1\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03bf\u03cd \u03bc\u03c5\u03b5\u03bb\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03ba\u03b1\u03c1\u03ba\u03b9\u03bd\u03ce\u03bc\u03b1\u03c4\u03bf\u03c2 \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b1 \u03ba\u03b1\u03bb\u03c3\u03b9\u03c4\u03bf\u03bd\u03af\u03bd\u03b7\u03c2 &gt;100ng\/ml \u03c3\u03c4\u03bf \u03c5\u03b3\u03c1\u03cc \u03ad\u03ba\u03c0\u03bb\u03c5\u03c3\u03b7\u03c2 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc FNA \u03c4\u03c9\u03bd \u03bb\u03b5\u03bc\u03c6\u03b1\u03b4\u03ad\u03bd\u03c9\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03c7\u03b5\u03b4\u03cc\u03bd \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ac (31). \u0391\u03bd\u03c4\u03b9\u03c3\u03c4\u03bf\u03af\u03c7\u03c9\u03c2, \u03b5\u03c0\u03af \u03c4\u03c1\u03b1\u03c7\u03b7\u03bb\u03b9\u03ba\u03ce\u03bd \u03bb\u03b5\u03bc\u03c6\u03b1\u03b4\u03b5\u03bd\u03b9\u03ba\u03ce\u03bd \u03b4\u03b9\u03bf\u03b3\u03ba\u03ce\u03c3\u03b5\u03c9\u03bd \u03ba\u03b1\u03b9 \u03c5\u03c0\u03bf\u03c8\u03af\u03b1\u03c2 \u03bc\u03b5\u03c4\u03b1\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03bf\u03cd \u03b8\u03c5\u03bb\u03b1\u03ba\u03b9\u03bf\u03ba\u03c5\u03c4\u03c4\u03b1\u03c1\u03b9\u03ba\u03bf\u03cd \u03ba\u03b1\u03c1\u03ba\u03b9\u03bd\u03ce\u03bc\u03b1\u03c4\u03bf\u03c2 \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b1 \u03b8\u03c5\u03c1\u03b5\u03bf\u03c3\u03c6\u03b1\u03b9\u03c1\u03af\u03bd\u03b7\u03c2 &gt;100ng\/ml \u03c3\u03c4\u03bf \u03c5\u03b3\u03c1\u03cc \u03ad\u03ba\u03c0\u03bb\u03c5\u03c3\u03b7\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ac (31). \u03a4\u03ad\u03bb\u03bf\u03c2 \u03c3\u03b5 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03b1\u03c3\u03b1\u03c6\u03bf\u03cd\u03c2 \u03b4\u03b9\u03ac\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2 \u03bc\u03b5\u03c4\u03b1\u03be\u03cd \u03b4\u03b9\u03b7\u03b8\u03b7\u03bc\u03ad\u03bd\u03c9\u03bd \u03bb\u03b5\u03bc\u03c6\u03b1\u03b4\u03ad\u03bd\u03c9\u03bd \u03ba\u03b1\u03b9 \u03c0\u03b1\u03c1\u03b1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ce\u03bd \u03b4\u03b9\u03bf\u03b3\u03ba\u03ce\u03c3\u03b5\u03c9\u03bd \u03bf \u03c0\u03c1\u03bf\u03c3\u03b4\u03b9\u03bf\u03c1\u03b9\u03c3\u03bc\u03cc\u03c2\u00a0\u03c0\u03b1\u03c1\u03b1\u03b8\u03bf\u03c1\u03bc\u03cc\u03bd\u03b7\u03c2 \u03c3\u03c4\u03bf \u03c5\u03b3\u03c1\u03cc \u03ad\u03ba\u03c0\u03bb\u03c5\u03c3\u03b7\u03c2 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc FNA \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b2\u03bf\u03b7\u03b8\u03ae\u03c3\u03b5\u03b9 \u03c3\u03c4\u03b7\u03bd \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03b9\u03ba\u03ae \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7 (31).<\/p>\n<h4 style=\"text-align: justify;\"><b>7. \u0391\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03ce\u03c0\u03b9\u03c3\u03b7<\/b><\/h4>\n<p style=\"text-align: justify;\">\u0397 \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03ce\u03c0\u03b9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03bf\u03b6\u03ce\u03b4\u03bf\u03c5\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae\u03c2 \u03bd\u03cc\u03c3\u03bf\u03c5 \u03ba\u03b1\u03b8\u03bf\u03b4\u03b7\u03b3\u03b5\u03af\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b1 \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1 \u03c4\u03bf\u03c5 \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03bf\u03cd \u03b5\u03bb\u03ad\u03b3\u03c7\u03bf\u03c5, \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1 \u03ae \u03bc\u03b7 \u03c5\u03c0\u03b5\u03c1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03bf\u03cd, \u03ba\u03c5\u03c1\u03af\u03c9\u03c2 \u03cc\u03bc\u03c9\u03c2 \u03b1\u03c0\u03cc \u03c4\u03bf \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 \u03c4\u03b7\u03c2 FNA (1,18,27,31).<\/p>\n<p style=\"text-align: justify;\">\u03a3\u03b5 \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03c0\u03bf\u03c5 \u03c4\u03bf \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 \u03c4\u03b7\u03c2 FNA \u03b5\u03af\u03bd\u03b1\u03b9 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1 (\u03ba\u03b1\u03c4\u03b7\u03b3\u03bf\u03c1\u03af\u03b1 VI \u03ba\u03b1\u03c4\u03ac Bethesda) \u03ba\u03b1\u03b9 \u03c0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf \u03b8\u03c5\u03bb\u03b1\u03ba\u03b9\u03bf\u03ba\u03c5\u03c4\u03c4\u03b1\u03c1\u03b9\u03ba\u03cc \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03c9\u03bc\u03b1 \u03ae \u03bc\u03c5\u03b5\u03bb\u03bf\u03b5\u03b9\u03b4\u03ad\u03c2 \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03c9\u03bc\u03b1, \u03b7 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1 \u03b5\u03ba\u03bb\u03bf\u03b3\u03ae\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae (26,27,31,56). \u0395\u03c6\u2019 \u03cc\u03c3\u03bf\u03bd \u03c0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03b1\u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03af\u03b7\u03c4\u03bf \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03c9\u03bc\u03b1 \u03ae \u03bb\u03ad\u03bc\u03c6\u03c9\u03bc\u03b1, \u03b8\u03b1 \u03c7\u03c1\u03b5\u03b9\u03b1\u03c3\u03c4\u03b5\u03af \u03c0\u03b5\u03c1\u03b1\u03b9\u03c4\u03ad\u03c1\u03c9 \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c0\u03c1\u03bf\u03c4\u03bf\u03cd \u03bb\u03b7\u03c6\u03b8\u03b5\u03af \u03b7 \u03b1\u03c0\u03cc\u03c6\u03b1\u03c3\u03b7 \u03b3\u03b9\u03b1 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b5\u03af\u03bf. \u0395\u03c6\u2019 \u03cc\u03c3\u03bf\u03bd \u03c0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03bc\u03b5\u03c4\u03b1\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ae \u03bd\u03cc\u03c3\u03bf \u03b8\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b1\u03bd\u03b1\u03b6\u03b7\u03c4\u03b7\u03b8\u03b5\u03af \u03b7 \u03c0\u03c1\u03c9\u03c4\u03bf\u03c0\u03b1\u03b8\u03ae\u03c2 \u03b5\u03c3\u03c4\u03af\u03b1 \u03ba\u03b1\u03b9 \u03b7 \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03ce\u03c0\u03b9\u03c3\u03b7 \u03b8\u03b1 \u03b4\u03b9\u03b1\u03bc\u03bf\u03c1\u03c6\u03c9\u03b8\u03b5\u03af \u03b2\u03ac\u03c3\u03b5\u03b9 \u03c4\u03b7\u03c2 \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03ce\u03c0\u03b9\u03c3\u03b7\u03c2 \u03c4\u03b7\u03c2 \u03c0\u03c1\u03c9\u03c4\u03bf\u03c0\u03b1\u03b8\u03bf\u03cd\u03c2 \u03bd\u03cc\u03c3\u03bf\u03c5 (31).<\/p>\n<p style=\"text-align: justify;\">\u03a3\u03b5 \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03c0\u03bf\u03c5 \u03c4\u03bf \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 \u03c4\u03b7\u03c2 FNA \u03b5\u03af\u03bd\u03b1\u03b9 \u03cd\u03c0\u03bf\u03c0\u03c4\u03bf \u03b3\u03b9\u03b1 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1 (\u03ba\u03b1\u03c4\u03b7\u03b3\u03bf\u03c1\u03af\u03b1 V \u03ba\u03b1\u03c4\u03ac Bethesda), \u03b4\u03b5\u03b4\u03bf\u03bc\u03ad\u03bd\u03bf\u03c5 \u03cc\u03c4\u03b9 \u03c4\u03bf \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc \u03b9\u03c3\u03c4\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ac \u03c4\u03b5\u03ba\u03bc\u03b7\u03c1\u03b9\u03c9\u03bc\u03ad\u03bd\u03b7\u03c2 \u03ba\u03b1\u03ba\u03bf\u03b7\u03b8\u03b5\u03af\u03b1\u03c2 \u03b1\u03bd\u03ad\u03c1\u03c7\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf 50-75% (56, 57) \u03c3\u03c5\u03bd\u03b9\u03c3\u03c4\u03ac\u03c4\u03b1\u03b9 \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03ba\u03ae \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03ce\u03c0\u03b9\u03c3\u03b7 (31, 56).<\/p>\n<p style=\"text-align: justify;\">\u03a3\u03b5 \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03c0\u03bf\u03c5 \u03c4\u03bf \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 \u03c4\u03b7\u03c2 FNA \u03b5\u03af\u03bd\u03b1\u03b9 \u03b8\u03c5\u03bb\u03b1\u03ba\u03b9\u03ce\u03b4\u03b7\u03c2 \u03b2\u03bb\u03ac\u03b2\u03b7 \u03b1\u03ba\u03b1\u03b8\u03bf\u03c1\u03af\u03c3\u03c4\u03bf\u03c5 \u03c3\u03b7\u03bc\u03b1\u03c3\u03af\u03b1\u03c2 (indeterminate cytology) (\u03ba\u03b1\u03c4\u03b7\u03b3\u03bf\u03c1\u03af\u03b5\u03c2 \u0399\u0399\u0399 &amp; \u0399V \u03ba\u03b1\u03c4\u03ac Bethesda) \u03c3\u03c5\u03bd\u03b9\u03c3\u03c4\u03ac\u03c4\u03b1\u03b9 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03ce\u03c0\u03b9\u03c3\u03b7 \u03b5\u03c6\u2019 \u03cc\u03c3\u03bf\u03bd \u03c0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03b8\u03c5\u03bb\u03b1\u03ba\u03b9\u03ce\u03b4\u03b5\u03c2 \u03b1\u03b4\u03ad\u03bd\u03c9\u03bc\u03b1 (27,31,56) \u03b4\u03b5\u03b4\u03bf\u03bc\u03ad\u03bd\u03bf\u03c5 \u03cc\u03c4\u03b9 \u03ad\u03c7\u03b5\u03b9 \u03b4\u03b5\u03b9\u03c7\u03b8\u03b5\u03af \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1 \u03c3\u03b5 \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc 20-30%, \u03b5\u03bd\u03ce \u03b5\u03c6\u2019 \u03cc\u03c3\u03bf\u03bd \u03c0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03b8\u03c5\u03bb\u03b1\u03ba\u03b9\u03ce\u03b4\u03b7\u03c2 \u03b1\u03bb\u03bb\u03bf\u03af\u03c9\u03c3\u03b7 \u03b1\u03ba\u03b1\u03b8\u03bf\u03c1\u03af\u03c3\u03c4\u03bf\u03c5 \u03c3\u03b7\u03bc\u03b1\u03c3\u03af\u03b1\u03c2 \/ \u03b1\u03c4\u03c5\u03c0\u03af\u03b1, \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03bf\u03c0\u03bf\u03af\u03b1 \u03ad\u03c7\u03b5\u03b9 \u03b4\u03b5\u03b9\u03c7\u03b8\u03b5\u03af \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1 \u03c3\u03b5 \u03bc\u03b9\u03ba\u03c1\u03cc\u03c4\u03b5\u03c1\u03bf \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc (5-15%), \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b5\u03c0\u03b1\u03bd\u03b1\u03bb\u03b7\u03c6\u03b8\u03b5\u03af \u03b7 FNA \u03ae \u03bd\u03b1 \u03c3\u03c5\u03c3\u03c4\u03b7\u03b8\u03b5\u03af \u03b5\u03be \u03b1\u03c1\u03c7\u03ae\u03c2 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03ce\u03c0\u03b9\u03c3\u03b7 \u03b1\u03c6\u03bf\u03cd \u03bb\u03b7\u03c6\u03b8\u03bf\u03cd\u03bd \u03c5\u03c0\u2019 \u03cc\u03c8\u03b9\u03bd \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ac \u03ba\u03b1\u03b9 \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03ac \u03b4\u03b5\u03b4\u03bf\u03bc\u03ad\u03bd\u03b1 (27,31). \u039f \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2 \u03bc\u03bf\u03c1\u03b9\u03b1\u03ba\u03ce\u03bd \u03b4\u03b5\u03b9\u03ba\u03c4\u03ce\u03bd \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03c0\u03c1\u03b1\u03b3\u03bc\u03b1\u03c4\u03bf\u03c0\u03bf\u03b9\u03b7\u03b8\u03b5\u03af \u03c3\u03b5 \u03b5\u03c0\u03b9\u03bb\u03b5\u03b3\u03bc\u03ad\u03bd\u03b5\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2, \u03b1\u03bb\u03bb\u03ac \u03b4\u03b5\u03bd \u03c3\u03c5\u03bd\u03b9\u03c3\u03c4\u03ac\u03c4\u03b1\u03b9 \u03c9\u03c2 \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2 \u03c1\u03bf\u03c5\u03c4\u03af\u03bd\u03b1\u03c2 (27,31).<\/p>\n<p style=\"text-align: justify;\">\u03a3\u03b5 \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03c0\u03bf\u03c5 \u03c4\u03bf \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 \u03c4\u03b7\u03c2 FNA \u03b5\u03af\u03bd\u03b1\u03b9 \u03ba\u03b1\u03bb\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1, \u03c3\u03c5\u03bd\u03b9\u03c3\u03c4\u03ac\u03c4\u03b1\u03b9 \u03c0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03cd\u03b8\u03b7\u03c3\u03b7 \u03b1\u03bd\u03ac \u03b4\u03b9\u03b1\u03c3\u03c4\u03ae\u03bc\u03b1\u03c4\u03b1 6-18 \u03bc\u03b7\u03bd\u03ce\u03bd \u03bc\u03b5 \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7, \u03c0\u03c1\u03bf\u03c3\u03b4\u03b9\u03bf\u03c1\u03b9\u03c3\u03bc\u03cc TSH \u03ba\u03b1\u03b9 \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03cc \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf, \u03b4\u03b5\u03b4\u03bf\u03bc\u03ad\u03bd\u03bf\u03c5 \u03cc\u03c4\u03b9 \u03c8\u03b5\u03c5\u03b4\u03ce\u03c2 \u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03ac \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03ad\u03c3\u03bc\u03b1\u03c4\u03b1 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc ~5% (27, 31). \u0397 \u03b4\u03b9\u03ac\u03c1\u03ba\u03b5\u03b9\u03b1 \u03c0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03cd\u03b8\u03b7\u03c3\u03b7\u03c2 \u03b4\u03b5\u03bd \u03ad\u03c7\u03b5\u03b9 \u03ba\u03b1\u03b8\u03bf\u03c1\u03b9\u03c3\u03c4\u03b5\u03af. \u0395\u03c6\u2019 \u03cc\u03c3\u03bf\u03bd \u03ba\u03b1\u03c4\u03ac \u03c4\u03b7\u03bd \u03c0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03cd\u03b8\u03b7\u03c3\u03b7 \u03b4\u03b9\u03b1\u03c0\u03b9\u03c3\u03c4\u03c9\u03b8\u03b5\u03af \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ac \u03b1\u03cd\u03be\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b4\u03b9\u03b1\u03bc\u03ad\u03c4\u03c1\u03bf\u03c5 \u03c4\u03bf\u03c5 \u03cc\u03b6\u03bf\u03c5 \u03ba\u03b1\u03c4\u03ac 20% \u03c3\u03b5 \u03c3\u03c5\u03bc\u03c0\u03b1\u03b3\u03b5\u03af\u03c2 \u03cc\u03b6\u03bf\u03c5\u03c2 \u03c4\u03af\u03b8\u03b5\u03c4\u03b1\u03b9 \u03b7 \u03ad\u03bd\u03b4\u03b5\u03b9\u03be\u03b7 \u03b3\u03b9\u03b1 \u03bd\u03ad\u03b1 FNA, \u03ba\u03b1\u03b8\u03ce\u03c2 \u03b1\u03c5\u03c4\u03ae \u03b7 \u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03ae \u03b1\u03bd\u03c4\u03b9\u03c3\u03c4\u03bf\u03b9\u03c7\u03b5\u03af \u03c3\u03b5 \u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03ae \u03cc\u03b3\u03ba\u03bf\u03c5 \u03ba\u03b1\u03c4\u03ac 50% (27,31). \u03a3\u03b5 \u03cc\u03b6\u03bf\u03c5\u03c2 \u03bc\u03b5\u03b9\u03ba\u03c4\u03ae\u03c2 \u03c3\u03cd\u03c3\u03c4\u03b1\u03c3\u03b7\u03c2, \u03b8\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b1\u03be\u03b9\u03bf\u03bb\u03bf\u03b3\u03b5\u03af\u03c4\u03b1\u03b9 \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ac \u03b7 \u03b1\u03cd\u03be\u03b7\u03c3\u03b7 \u03bc\u03b5\u03b3\u03ad\u03b8\u03bf\u03c5\u03c2 \u03c4\u03bf\u03c5\/\u03c4\u03c9\u03bd \u03c3\u03c5\u03bc\u03c0\u03b1\u03b3\u03ce\u03bd \u03c3\u03c4\u03bf\u03b9\u03c7\u03b5\u03af\u03c9\u03bd (27). \u0395\u03c6\u2019 \u03cc\u03c3\u03bf\u03bd \u03ba\u03b1\u03c4\u03ac \u03c4\u03b7\u03bd \u03c0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03cd\u03b8\u03b7\u03c3\u03b7 \u03b4\u03b9\u03b1\u03c0\u03b9\u03c3\u03c4\u03c9\u03b8\u03b5\u03af \u03c3\u03c5\u03bd\u03b5\u03c7\u03ae\u03c2 \u03b1\u03cd\u03be\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03bc\u03b5\u03b3\u03ad\u03b8\u03bf\u03c5\u03c2 \u03c4\u03bf\u03c5\/\u03c4\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd \u03ae\/\u03ba\u03b1\u03b9 \u03b5\u03bc\u03c6\u03ac\u03bd\u03b9\u03c3\u03b7 \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ce\u03bd \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03c4\u03b9\u03ba\u03ce\u03bd \u03c0\u03bf\u03c5 \u03b8\u03ad\u03c4\u03bf\u03c5\u03bd \u03c4\u03b7\u03bd \u03c5\u03c0\u03cc\u03bd\u03bf\u03b9\u03b1 \u03ba\u03b1\u03ba\u03bf\u03b7\u03b8\u03b5\u03af\u03b1\u03c2, \u03c0\u03b1\u03c1\u03ac \u03c4\u03b7\u03bd \u03b5\u03c0\u03b1\u03bd\u03ac\u03bb\u03b7\u03c8\u03b7 \u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03bf\u03cd \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03ad\u03c3\u03bc\u03b1\u03c4\u03bf\u03c2 FNA \u03c3\u03c5\u03bd\u03b9\u03c3\u03c4\u03ac\u03c4\u03b1\u03b9 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03ba\u03ae \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03ce\u03c0\u03b9\u03c3\u03b7 (31). \u038c\u03c3\u03bf\u03bd \u03b1\u03c6\u03bf\u03c1\u03ac \u03c3\u03c4\u03b7\u03bd \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 \u03b1\u03b3\u03c9\u03b3\u03ae\u03c2 \u03bc\u03b5 \u03b8\u03c5\u03c1\u03bf\u03be\u03af\u03bd\u03b7 \u03c3\u03b5 \u03b4\u03cc\u03c3\u03b7 \u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2 \u03c4\u03b7\u03c2 TSH \u03c3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03ba\u03b1\u03bb\u03bf\u03ae\u03b8\u03b5\u03b9\u03c2 \u03cc\u03b6\u03bf\u03c5\u03c2 \u03bc\u03b5 \u03c3\u03c4\u03cc\u03c7\u03bf \u03c4\u03b7\u03bd \u03c3\u03c5\u03c1\u03c1\u03af\u03ba\u03bd\u03c9\u03c3\u03b7 \u03c4\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd, \u03c0\u03c1\u03b1\u03ba\u03c4\u03b9\u03ba\u03ae \u03c0\u03bf\u03c5 \u03ad\u03c7\u03b5\u03b9 \u03b5\u03c6\u03b1\u03c1\u03bc\u03bf\u03c3\u03c4\u03b5\u03af \u03b5\u03c5\u03c1\u03cd\u03c4\u03b1\u03c4\u03b1 \u03ba\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03c0\u03bf\u03bb\u03bb\u03ac \u03c7\u03c1\u03cc\u03bd\u03b9\u03b1, \u03c3\u03cd\u03bc\u03c6\u03c9\u03bd\u03b1 \u03bc\u03b5 \u03c4\u03b9\u03c2 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b9\u03b5\u03c2 \u03bf\u03b4\u03b7\u03b3\u03af\u03b5\u03c2 \u03c4\u03b7\u03c2 \u0391\u03a4\u0391 (27) \u03ba\u03b1\u03b9 \u03c4\u03c9\u03bd AACE\/AME\/ETA (31) \u03ad\u03c7\u03b5\u03b9 \u03ad\u03bd\u03b4\u03b5\u03b9\u03be\u03b7 \u03bc\u03cc\u03bd\u03bf \u03c3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03c0\u03bf\u03c5 \u03b2\u03c1\u03af\u03c3\u03ba\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03b9\u03c9\u03b4\u03bf\u03c0\u03b5\u03bd\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ad\u03c2, \u03bd\u03ad\u03b1\u03c2 \/ \u03bc\u03ad\u03c3\u03b7\u03c2 \u03b7\u03bb\u03b9\u03ba\u03af\u03b1\u03c2 \u03ba\u03b1\u03b9 \u03bc\u03b5 \u03bc\u03b9\u03ba\u03c1\u03ae \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7. \u0397 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 \u03b1\u03b3\u03c9\u03b3\u03ae\u03c2 \u03bc\u03b5 \u03b8\u03c5\u03c1\u03bf\u03be\u03af\u03bd\u03b7 \u03c3\u03b5 \u03b4\u03cc\u03c3\u03b7 \u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2 \u03b4\u03b5\u03bd \u03c3\u03c5\u03bd\u03b9\u03c3\u03c4\u03ac\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03c0\u03bf\u03c5 \u03b6\u03bf\u03c5\u03bd \u03c3\u03b5 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ad\u03c2 \u03bc\u03b5 \u03b5\u03c0\u03ac\u03c1\u03ba\u03b5\u03b9\u03b1 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 (27,31), \u03ba\u03b1\u03b8\u03ce\u03c2 \u03bf\u03b9 \u03bc\u03b5\u03c4\u03b1-\u03b1\u03bd\u03b1\u03bb\u03cd\u03c3\u03b5\u03b9\u03c2 \u03b4\u03b5\u03bd \u03ad\u03c7\u03bf\u03c5\u03bd \u03b4\u03b5\u03af\u03be\u03b5\u03b9 \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ac \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03cc \u03ce\u03c6\u03b5\u03bb\u03bf\u03c2 \u03bc\u03b5 \u03c4\u03b7\u03bd \u03b1\u03bd\u03c9\u03c4\u03ad\u03c1\u03c9 \u03c6\u03b1\u03c1\u03bc\u03b1\u03ba\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03b1\u03b3\u03c9\u03b3\u03ae (58,59). \u0395\u03c0\u03b9\u03c0\u03bb\u03ad\u03bf\u03bd, \u03c5\u03c0\u03ac\u03c1\u03c7\u03bf\u03c5\u03bd \u03b5\u03c0\u03b9\u03c6\u03c5\u03bb\u03ac\u03be\u03b5\u03b9\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 \u03b8\u03c5\u03c1\u03bf\u03be\u03af\u03bd\u03b7 \u03c3\u03b5 \u03b4\u03cc\u03c3\u03b7 \u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03ba\u03b1\u03bb\u03bf\u03ae\u03b8\u03b7 \u03bf\u03b6\u03ce\u03b4\u03b7 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae \u03bd\u03cc\u03c3\u03bf \u03c3\u03b5 \u03bc\u03b5\u03c4\u03b5\u03bc\u03bc\u03b7\u03bd\u03bf\u03c0\u03b1\u03c5\u03c3\u03b9\u03b1\u03ba\u03ad\u03c2 \u03b3\u03c5\u03bd\u03b1\u03af\u03ba\u03b5\u03c2, \u03c3\u03b5 \u03ac\u03bd\u03b4\u03c1\u03b5\u03c2 \u03ac\u03bd\u03c9 \u03c4\u03c9\u03bd 60 \u03b5\u03c4\u03ce\u03bd, \u03ba\u03b1\u03b8\u03ce\u03c2 \u03ba\u03b1\u03b9 \u03c3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03bf\u03c3\u03c4\u03b5\u03bf\u03c0\u03cc\u03c1\u03c9\u03c3\u03b7, \u03ba\u03b1\u03c1\u03b4\u03b9\u03b1\u03b3\u03b3\u03b5\u03b9\u03b1\u03ba\u03ac \u03bd\u03bf\u03c3\u03ae\u03bc\u03b1\u03c4\u03b1 \u03ba\u03b1\u03b9 \u03c3\u03c5\u03c3\u03c4\u03b7\u03bc\u03b1\u03c4\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b1\u03b8\u03ae\u03c3\u03b5\u03b9\u03c2 (27,31).<\/p>\n<p style=\"text-align: justify;\">\u03a4\u03b1 \u03c4\u03b5\u03bb\u03b5\u03c5\u03c4\u03b1\u03af\u03b1 \u03c7\u03c1\u03cc\u03bd\u03b9\u03b1 \u03ad\u03c7\u03bf\u03c5\u03bd \u03c0\u03c1\u03bf\u03c4\u03b1\u03b8\u03b5\u03af 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\u03b8\u03b5\u03c1\u03bc\u03b9\u03ba\u03ae \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03c1\u03bf\u03c6\u03ae (ablation) \u03bc\u03b5 \u03c1\u03b1\u03b4\u03b9\u03bf\u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b5\u03c2 \u03ae laser (61, 62). \u0397 \u03b4\u03b9\u03b1\u03b4\u03b5\u03c1\u03bc\u03b9\u03ba\u03ae \u03ad\u03b3\u03c7\u03c5\u03c3\u03b7 \u03b1\u03b9\u03b8\u03b1\u03bd\u03cc\u03bb\u03b7\u03c2 \u03ad\u03c7\u03b5\u03b9 \u03b4\u03b5\u03b9\u03c7\u03b8\u03b5\u03af \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03c3\u03bc\u03b1\u03c4\u03b9\u03ba\u03ae \u03ba\u03c5\u03c1\u03af\u03c9\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03ce\u03c0\u03b9\u03c3\u03b7 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ce\u03bd \u03ba\u03cd\u03c3\u03c4\u03b5\u03c9\u03bd \u03c0\u03bf\u03c5 \u03c5\u03c0\u03bf\u03c4\u03c1\u03bf\u03c0\u03b9\u03ac\u03b6\u03bf\u03c5\u03bd \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc 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\u03bc\u03b5\u03c4\u03b1\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03c1\u03af\u03ba\u03bd\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03b9\u03c3\u03c4\u03bf\u03cd. \u039c\u03b5 \u03c4\u03b7\u03bd \u03b1\u03b3\u03c9\u03b3\u03ae \u03b1\u03c5\u03c4\u03ae \u03b5\u03c0\u03b9\u03c4\u03c5\u03b3\u03c7\u03ac\u03bd\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5\u03af\u03c9\u03c3\u03b7 \u03ad\u03c9\u03c2 50-60% \u03c3\u03c4\u03bf \u03bc\u03ad\u03b3\u03b5\u03b8\u03bf\u03c2 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03c3\u03b5 \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03cc \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd \u03ba\u03b1\u03b9 \u03c3\u03b5 \u03b4\u03b9\u03ac\u03c3\u03c4\u03b7\u03bc\u03b1 \u03c0\u03bf\u03c5 \u03ba\u03c5\u03bc\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03bc\u03ae\u03bd\u03b5\u03c2 \u03ad\u03c9\u03c2 \u03ba\u03b1\u03b9 5 \u03ad\u03c4\u03b7 (69,70), \u03c9\u03c3\u03c4\u03cc\u03c3\u03bf \u03c3\u03c4\u03b9\u03c2 \u03bc\u03b9\u03c3\u03ad\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03c4\u03c9\u03bd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd \u03c0\u03bf\u03c5 \u03b1\u03bd\u03c4\u03b1\u03c0\u03bf\u03ba\u03c1\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c4\u03bf \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 \u03b4\u03b9\u03b1\u03c0\u03b9\u03c3\u03c4\u03ce\u03bd\u03b5\u03c4\u03b1\u03b9 \u03bc\u03ad\u03c3\u03b1 \u03c3\u03c4\u03bf \u03c0\u03c1\u03ce\u03c4\u03bf \u03c4\u03c1\u03af\u03bc\u03b7\u03bd\u03bf \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03bb\u03ae\u03c8\u03b7 (69, 70). \u0397 \u03bc\u03b5\u03af\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03bc\u03b5\u03b3\u03ad\u03b8\u03bf\u03c5\u03c2 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03bd\u03ac\u03bb\u03bf\u03b3\u03b7 \u03c4\u03b7\u03c2 \u03c7\u03bf\u03c1\u03b7\u03b3\u03bf\u03cd\u03bc\u03b5\u03bd\u03b7\u03c2 \u03b4\u03cc\u03c3\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03b1\u03bd\u03c4\u03b9\u03c3\u03c4\u03c1\u03cc\u03c6\u03c9\u03c2 \u03b1\u03bd\u03ac\u03bb\u03bf\u03b3\u03b7 \u03c4\u03bf\u03c5 \u03bc\u03b5\u03b3\u03ad\u03b8\u03bf\u03c5\u03c2 \u03c4\u03b7\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7\u03c2, \u03c9\u03c3\u03c4\u03cc\u03c3\u03bf \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc 20% \u03c4\u03c9\u03bd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd \u03b4\u03b5\u03bd \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03b5\u03b9 \u03ba\u03b1\u03bc\u03bc\u03af\u03b1 \u03b1\u03bd\u03c4\u03b1\u03c0\u03cc\u03ba\u03c1\u03b9\u03c3\u03b7 (69,70). \u0397 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03c3\u03bc\u03b1\u03c4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03b7\u03c2 \u03b1\u03b3\u03c9\u03b3\u03ae\u03c2 \u03b5\u03c0\u03b7\u03c1\u03c1\u03b5\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03ba\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03b1\u03bd\u03bf\u03bc\u03bf\u03b9\u03bf\u03b3\u03b5\u03bd\u03ae \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 \u0399<sup>131<\/sup> \u03bb\u03cc\u03b3\u03c9 \u03c4\u03b7\u03c2 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1\u03c2 \u03cc\u03b6\u03c9\u03bd \u03c0\u03bf\u03c5 \u03c5\u03c0\u03bf\u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03bf\u03cd\u03bd (\u03c8\u03c5\u03c7\u03c1\u03ce\u03bd), \u03ba\u03c5\u03c3\u03c4\u03b9\u03ba\u03ce\u03bd \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ce\u03bd \u03ba\u03b1\u03b9 \u03b1\u03bd\u03ac\u03c0\u03c4\u03c5\u03be\u03b7\u03c2 \u03c3\u03c5\u03bd\u03b4\u03b5\u03c4\u03b9\u03ba\u03bf\u03cd \u03b9\u03c3\u03c4\u03bf\u03cd (69). \u0394\u03b5\u03cd\u03c4\u03b5\u03c1\u03b7 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03b4\u03cc\u03c3\u03b7 \u03c1\u03b1\u03b4\u03b9\u03b5\u03bd\u03b5\u03c1\u03b3\u03bf\u03cd \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 \u0399<sup>131<\/sup> \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03c7\u03bf\u03c1\u03b7\u03b3\u03b7\u03b8\u03b5\u03af \u03ba\u03b1\u03b9 \u03b5\u03c0\u03b9\u03c4\u03c5\u03b3\u03c7\u03ac\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c5\u03b3\u03ba\u03c1\u03af\u03c3\u03b9\u03bc\u03b1 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03ad\u03c3\u03bc\u03b1\u03c4\u03b1 \u03bc\u03b5 \u03c4\u03b7\u03bd \u03c0\u03c1\u03ce\u03c4\u03b7 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 (70). \u03a0\u03c1\u03ce\u03ca\u03bc\u03b5\u03c2 \u03b1\u03bd\u03b5\u03c0\u03b9\u03b8\u03cd\u03bc\u03b7\u03c4\u03b5\u03c2 \u03b5\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b5\u03c2 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 \u03c1\u03b1\u03b4\u03b9\u03b5\u03bd\u03b5\u03c1\u03b3\u03bf\u03cd \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 \u0399<sup>131<\/sup> \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03bc\u03b5\u03c4\u03b1\u03ba\u03c4\u03b9\u03bd\u03b9\u03ba\u03ae \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03af\u03c4\u03b9\u03c2, \u03bf \u03c0\u03b1\u03c1\u03bf\u03b4\u03b9\u03ba\u03cc\u03c2 \u03c5\u03c0\u03b5\u03c1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03cc\u03c2 \u03ba\u03b1\u03b9 \u03b7 \u03b1\u03cd\u03be\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03bc\u03b5\u03b3\u03ad\u03b8\u03bf\u03c5\u03c2 \u03c4\u03b7\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7\u03c2, \u03bf\u03b9 \u03bf\u03c0\u03bf\u03af\u03b5\u03c2 \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03c5\u03c7\u03bd\u03ad\u03c2, \u03cc\u03bc\u03c9\u03c2 \u03b1\u03c0\u03b1\u03c3\u03c7\u03bf\u03bb\u03bf\u03cd\u03bd \u03c3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03bc\u03b5\u03b3\u03ac\u03bb\u03b5\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b5\u03c2 (&gt;100gr), \u03c3\u03c4\u03bf\u03c5\u03c2 \u03bf\u03c0\u03bf\u03af\u03bf\u03c5\u03c2 \u03ad\u03c7\u03b5\u03b9 \u03b4\u03bf\u03ba\u03b9\u03bc\u03b1\u03c3\u03c4\u03b5\u03af \u03b7 \u03c0\u03c1\u03bf\u03c6\u03c5\u03bb\u03b1\u03ba\u03c4\u03b9\u03ba\u03ae \u03b1\u03b3\u03c9\u03b3\u03ae \u03bc\u03b5 \u03b3\u03bb\u03c5\u03ba\u03bf\u03ba\u03bf\u03c1\u03c4\u03b9\u03ba\u03bf\u03b5\u03b9\u03b4\u03ae (\u03c0\u03c7. \u03c0\u03c1\u03b5\u03b4\u03bd\u03b9\u03b6\u03bf\u03bb\u03cc\u03bd\u03b7 20-30mg \/ 24\u03c9\u03c1\u03bf \u03b3\u03b9\u03b1 2-4 \u03b5\u03b2\u03b4\u03bf\u03bc\u03ac\u03b4\u03b5\u03c2 (70). \u038c\u03c8\u03b9\u03bc\u03b7 \u03b1\u03bd\u03b5\u03c0\u03b9\u03b8\u03cd\u03bc\u03b7\u03c4\u03b7 \u03b5\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03bf \u03c5\u03c0\u03bf\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03cc\u03c2, \u03b5\u03bd\u03ce \u03bf \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf\u03c2 \u03b3\u03b9\u03b1 \u03b5\u03bc\u03c6\u03ac\u03bd\u03b9\u03c3\u03b7 \u03ba\u03b1\u03ba\u03bf\u03b7\u03b8\u03b5\u03af\u03b1\u03c2 \u03b8\u03b5\u03c9\u03c1\u03b5\u03af\u03c4\u03b1\u03b9 \u03b1\u03bc\u03b5\u03bb\u03b7\u03c4\u03ad\u03bf\u03c2 (69,70).\u00a0 \u0397 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 \u03b1\u03bd\u03b8\u03c1\u03ce\u03c0\u03b9\u03bd\u03b7\u03c2 \u03b1\u03bd\u03b1\u03c3\u03c5\u03bd\u03b4\u03c5\u03b1\u03c3\u03bc\u03ad\u03bd\u03b7\u03c2 TSH (recombinant human TSH, rhTSH) \u03c0\u03c1\u03b9\u03bd \u03c4\u03b7\u03bd \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 \u03c1\u03b1\u03b4\u03b9\u03b5\u03bd\u03b5\u03c1\u03b3\u03bf\u03cd \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 \u03b5\u03c0\u03b9\u03c4\u03c5\u03b3\u03c7\u03ac\u03bd\u03b5\u03b9 \u03b2\u03b5\u03bb\u03c4\u03af\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03bf\u03cd \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03ad\u03c3\u03bc\u03b1\u03c4\u03bf\u03c2, \u03ba\u03b1\u03b8\u03ce\u03c2 \u03b1\u03c5\u03be\u03ac\u03bd\u03b5\u03b9 \u03c4\u03b7\u03bd \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 \u03c1\u03b1\u03b4\u03b9\u03bf\u03ca\u03c3\u03bf\u03c4\u03cc\u03c0\u03bf\u03c5 \u03b1\u03c0\u03cc \u03c4\u03bf\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc \u03b9\u03c3\u03c4\u03cc (71) \u03ba\u03b1\u03b9 \u03b1\u03bd\u03c4\u03af\u03c3\u03c4\u03bf\u03b9\u03c7\u03b1 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c1\u03af\u03b6\u03b5\u03b9 \u03c4\u03b7\u03bd \u03b5\u03be\u03c9\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03b1\u03c5\u03c4\u03bf\u03cd, \u03b5\u03bd\u03ce \u03c0\u03b1\u03c1\u03ac\u03bb\u03bb\u03b7\u03bb\u03b1 \u03b5\u03c0\u03b9\u03c4\u03c1\u03ad\u03c0\u03b5\u03b9 \u03c4\u03b7\u03bd \u03bc\u03b5\u03af\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c7\u03bf\u03c1\u03b7\u03b3\u03bf\u03cd\u03bc\u03b5\u03bd\u03b7\u03c2 \u03b4\u03cc\u03c3\u03b7\u03c2 (72). \u0395\u03c0\u03af\u03c3\u03b7\u03c2, \u03bc\u03b5\u03b9\u03ce\u03bd\u03b5\u03b9 \u03c4\u03bf \u03b5\u03bd\u03b4\u03b5\u03c7\u03cc\u03bc\u03b5\u03bd\u03bf \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7\u03c2 \u03b4\u03b5\u03cd\u03c4\u03b5\u03c1\u03b7\u03c2 \u03b4\u03cc\u03c3\u03b7\u03c2 \u03c1\u03b1\u03b4\u03b9\u03b5\u03bd\u03b5\u03c1\u03b3\u03bf\u03cd \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 (73). \u03a0\u03c1\u03ce\u03ca\u03bc\u03b5\u03c2 \u03b1\u03bd\u03b5\u03c0\u03b9\u03b8\u03cd\u03bc\u03b7\u03c4\u03b5\u03c2 \u03b5\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b5\u03c2 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03c0\u03c1\u03bf\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1 \u03bc\u03b5 rhTSH \u03b5\u03af\u03bd\u03b1\u03b9 \u03bf \u03c0\u03b1\u03c1\u03bf\u03b4\u03b9\u03ba\u03cc\u03c2 \u03c5\u03c0\u03b5\u03c1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03cc\u03c2 \u03ba\u03b1\u03b9 \u03b7 \u03c0\u03b1\u03c1\u03bf\u03b4\u03b9\u03ba\u03ae 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\u03ba\u03c1\u03b9\u03b8\u03b5\u03af \u03c3\u03ba\u03cc\u03c0\u03b9\u03bc\u03b7 \u03b7 \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5\/\u03c4\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd, \u03b5\u03af\u03bd\u03b1\u03b9 \u03af\u03b4\u03b9\u03b1 \u03bc\u03b5 \u03b5\u03ba\u03b5\u03af\u03bd\u03b7 \u03b5\u03ba\u03c4\u03cc\u03c2 \u03b5\u03b3\u03ba\u03c5\u03bc\u03bf\u03c3\u03cd\u03bd\u03b7\u03c2 (27,31), \u03c9\u03c3\u03c4\u03cc\u03c3\u03bf \u03b1\u03bd\u03c4\u03b5\u03bd\u03b4\u03b5\u03af\u03ba\u03bd\u03c5\u03c4\u03b1\u03b9 \u03b7 \u03c7\u03c1\u03ae\u03c3\u03b7 \u03c1\u03b1\u03b4\u03b9\u03b5\u03bd\u03b5\u03c1\u03b3\u03bf\u03cd \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 \u0399<sup>131<\/sup> \u03b3\u03b9\u03b1 \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03bf\u03cd\u03c2 \u03c3\u03ba\u03bf\u03c0\u03bf\u03cd\u03c2, \u03cc\u03c0\u03c9\u03c2 \u03ac\u03bb\u03bb\u03c9\u03c3\u03c4\u03b5 \u03ba\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03bf\u03cd\u03c2 \u03c3\u03ba\u03bf\u03c0\u03bf\u03cd\u03c2, \u03cc\u03c0\u03c9\u03c2 \u03ae\u03b4\u03b7 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b8\u03b7\u03ba\u03b5. \u03a3\u03b5 \u03b5\u03c5\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ad\u03c2 \u03ba\u03b1\u03b9 \u03c5\u03c0\u03bf\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ad\u03c2 \u03b5\u03b3\u03ba\u03cd\u03bf\u03c5\u03c2, \u03b5\u03c6\u2019\u03cc\u03c3\u03bf\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03bf\u03c5\u03bd \u03b5\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2 \u03b3\u03b9\u03b1 FNA, \u03b1\u03c5\u03c4\u03ae \u03b8\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b4\u03b9\u03b5\u03bd\u03b5\u03c1\u03b3\u03b5\u03af\u03c4\u03b1\u03b9 (27,31). \u03a3\u03b5 \u03b5\u03b3\u03ba\u03cd\u03bf\u03c5\u03c2 \u03bc\u03b5 \u03b1\u03bd\u03b5\u03c3\u03c4\u03b1\u03bb\u03bc\u03ad\u03bd\u03b1 \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b1 TSH \u03bc\u03b5\u03c4\u03ac \u03c4\u03bf 1<sup>\u03bf<\/sup> \u03c4\u03c1\u03af\u03bc\u03b7\u03bd\u03bf \u03c4\u03b7\u03c2 \u03b5\u03b3\u03ba\u03c5\u03bc\u03bf\u03c3\u03cd\u03bd\u03b7\u03c2, \u03b7 FNA \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b1\u03bd\u03b1\u03b2\u03bb\u03b7\u03b8\u03b5\u03af \u03b3\u03b9\u03b1 \u03bc\u03b5\u03c4\u03ac \u03c4\u03bf\u03bd \u03c4\u03bf\u03ba\u03b5\u03c4\u03cc \u03ba\u03b1\u03b9 \u03c4\u03b7\u03bd \u03b4\u03b9\u03b1\u03ba\u03bf\u03c0\u03ae \u03c4\u03bf\u03c5 \u03b8\u03b7\u03bb\u03b1\u03c3\u03bc\u03bf\u03cd, \u03c0\u03c1\u03bf\u03ba\u03b5\u03b9\u03bc\u03ad\u03bd\u03bf\u03c5 \u03bd\u03b1 \u03b5\u03bb\u03b5\u03b3\u03c7\u03b8\u03b5\u03af \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ac \u03c4\u03bf \u03b5\u03bd\u03b4\u03b5\u03c7\u03cc\u03bc\u03b5\u03bd\u03bf \u03b8\u03b5\u03c1\u03bc\u03bf\u03cd\/\u03b8\u03b5\u03c1\u03bc\u03ce\u03bd \u03cc\u03b6\u03bf\u03c5\/\u03cc\u03b6\u03c9\u03bd (27). \u0395\u03c6\u2019 \u03cc\u03c3\u03bf\u03bd \u03b7 FNA \u03b5\u03af\u03bd\u03b1\u03b9 \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ae \u03b3\u03b9\u03b1 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf \u03b8\u03c5\u03bb\u03b1\u03ba\u03b9\u03bf\u03ba\u03c5\u03c4\u03c4\u03b1\u03c1\u03b9\u03ba\u03cc \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03c9\u03bc\u03b1, \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03b7 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03ce\u03c0\u03b9\u03c3\u03b7 \u03bd\u03b1 \u03c0\u03c1\u03bf\u03b3\u03c1\u03b1\u03bc\u03bc\u03b1\u03c4\u03b9\u03c3\u03c4\u03b5\u03af \u03bc\u03b5\u03c4\u03ac \u03c4\u03bf\u03bd \u03c4\u03bf\u03ba\u03b5\u03c4\u03cc \u03b4\u03b5\u03b4\u03bf\u03bc\u03ad\u03bd\u03bf\u03c5 \u03cc\u03c4\u03b9 1) \u03b4\u03b5\u03bd \u03ad\u03c7\u03b5\u03b9 \u03b4\u03b5\u03b9\u03c7\u03b8\u03b5\u03af \u03cc\u03c4\u03b9 \u03c0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03c0\u03b9\u03cc \u03b5\u03c0\u03b9\u03b8\u03b5\u03c4\u03b9\u03ba\u03ae \u03bc\u03bf\u03c1\u03c6\u03ae \u03ba\u03b1\u03c4\u03ac \u03c4\u03b7\u03bd \u03b5\u03b3\u03ba\u03c5\u03bc\u03bf\u03c3\u03cd\u03bd\u03b7 \u03c3\u03b5 \u03c3\u03cd\u03b3\u03ba\u03c1\u03b9\u03c3\u03b7 \u03bc\u03b7 \u03ad\u03b3\u03ba\u03c5\u03b5\u03c2 \u03b3\u03c5\u03bd\u03b1\u03af\u03ba\u03b5\u03c2 \u03c0\u03b1\u03c1\u03cc\u03bc\u03bf\u03b9\u03b1\u03c2 \u03b7\u03bb\u03b9\u03ba\u03af\u03b1\u03c2 (76) 2) \u03b4\u03b5\u03bd \u03ad\u03c7\u03b5\u03b9 \u03b4\u03b5\u03b9\u03c7\u03b8\u03b5\u03af \u03cc\u03c4\u03b9 \u03b7 \u03ba\u03b1\u03b8\u03c5\u03c3\u03c4\u03ad\u03c1\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b5\u03ba\u03c4\u03bf\u03bc\u03ae\u03c2 \u03b3\u03b9\u03b1 \u03b4\u03b9\u03ac\u03c3\u03c4\u03b7\u03bc\u03b1 \u03bc\u03b9\u03ba\u03c1\u03cc\u03c4\u03b5\u03c1\u03bf \u03c4\u03bf\u03c5 \u03ad\u03c4\u03bf\u03c5\u03c2 \u03b5\u03c0\u03b7\u03c1\u03c1\u03b5\u03ac\u03b6\u03b5\u03b9 \u03c4\u03b7\u03bd \u03c0\u03bf\u03c1\u03b5\u03af\u03b1 \u03c4\u03b7\u03c2 \u03bd\u03cc\u03c3\u03bf\u03c5 \u03b1\u03bd\u03b5\u03be\u03b1\u03c1\u03c4\u03ae\u03c4\u03c9\u03c2 \u03b5\u03b3\u03ba\u03c5\u03bc\u03bf\u03c3\u03cd\u03bd\u03b7\u03c2 (77) \u03ba\u03b1\u03b9 3) \u03ad\u03c7\u03b5\u03b9 \u03b4\u03b5\u03b9\u03c7\u03b8\u03b5\u03af \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7 \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b5\u03c0\u03b9\u03c0\u03bb\u03bf\u03ba\u03ce\u03bd \u03c3\u03c4\u03b9\u03c2 \u03b5\u03b3\u03ba\u03cd\u03bf\u03c5\u03c2 \u03c0\u03bf\u03c5 \u03c5\u03c0\u03bf\u03b2\u03ac\u03bb\u03bb\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b5\u03ba\u03c4\u03bf\u03bc\u03ae \u03c3\u03c5\u03b3\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ac \u03bc\u03b7 \u03ad\u03b3\u03ba\u03c5\u03b5\u03c2 \u03b3\u03c5\u03bd\u03b1\u03af\u03ba\u03b5\u03c2 (78). \u03a9\u03c3\u03c4\u03cc\u03c3\u03bf \u03b4\u03b5\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03bf\u03bc\u03bf\u03c6\u03c9\u03bd\u03af\u03b1 \u03c3\u03c4\u03b7\u03bd \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03ce\u03c0\u03b9\u03c3\u03b7 \u03ba\u03b1\u03b9 \u03c3\u03b5 \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03c0\u03bf\u03c5 \u03ba\u03c1\u03b9\u03b8\u03b5\u03af \u03c3\u03ba\u03cc\u03c0\u03b9\u03bc\u03b7 \u03b7 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03b5\u03c0\u03ad\u03bc\u03b2\u03b1\u03c3\u03b7 \u03ba\u03b1\u03c4\u03ac \u03c4\u03b7\u03bd \u03b5\u03b3\u03ba\u03c5\u03bc\u03bf\u03c3\u03cd\u03bd\u03b7, \u03c3\u03c5\u03bd\u03b9\u03c3\u03c4\u03ac\u03c4\u03b1\u03b9 \u03bd\u03b1 \u03b3\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03ba\u03b1\u03c4\u03ac \u03c4\u03bf 2<sup>\u03bf<\/sup> \u03c4\u03c1\u03af\u03bc\u03b7\u03bd\u03bf. \u0391\u03bd\u03b1\u03b2\u03bf\u03bb\u03ae \u03c4\u03b7\u03c2 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae\u03c2 \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03ce\u03c0\u03b9\u03c3\u03b7\u03c2 \u03bc\u03b5\u03c4\u03ac \u03c4\u03bf\u03bd \u03c4\u03bf\u03ba\u03b5\u03c4\u03cc \u03c3\u03c5\u03bd\u03b9\u03c3\u03c4\u03ac\u03c4\u03b1\u03b9 \u03ba\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03c0\u03bf\u03c5 \u03b7 FNA \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03af\u03bd\u03b1\u03b9 \u03cd\u03c0\u03bf\u03c0\u03c4\u03b7 \u03b3\u03b9\u03b1 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1 \u03ae \u03b5\u03bd\u03b4\u03b5\u03b9\u03ba\u03c4\u03b9\u03ba\u03ae \u03b8\u03c5\u03bb\u03b1\u03ba\u03b9\u03ce\u03b4\u03bf\u03c5\u03c2 \u03b2\u03bb\u03ac\u03b2\u03b7\u03c2 (\u03ba\u03b1\u03c4\u03b7\u03b3\u03bf\u03c1\u03af\u03b5\u03c2 \u0399\u0399\u0399 &amp; \u0399V \u03ba\u03b1\u03c4\u03ac Bethesda) (31).<\/p>\n<h5 style=\"text-align: justify;\"><b>8.2. \u039f\u03b6\u03ce\u03b4\u03b7\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae \u03bd\u03cc\u03c3\u03bf\u03c2 \u03c3\u03c4\u03b7\u03bd \u03c0\u03b1\u03b9\u03b4\u03b9\u03ba\u03ae \u03b7\u03bb\u03b9\u03ba\u03af\u03b1<\/b><\/h5>\n<p style=\"text-align: justify;\">\u03a0\u03b1\u03c1\u03ac \u03c4\u03b7\u03bd \u03b1\u03c0\u03bf\u03c5\u03c3\u03af\u03b1 \u03b5\u03c0\u03b9\u03b4\u03b7\u03bc\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ce\u03bd \u03b4\u03b5\u03b4\u03bf\u03bc\u03ad\u03bd\u03c9\u03bd, \u03b7 \u03bf\u03b6\u03ce\u03b4\u03b7\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae \u03bd\u03cc\u03c3\u03bf\u03c2 \u03c3\u03b5 \u03c0\u03b1\u03b9\u03b4\u03b9\u03ac \u03b5\u03ba\u03c4\u03b9\u03bc\u03ac\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc 1,8% \u03b2\u03ac\u03c3\u03b5\u03b9 \u03c4\u03c9\u03bd \u03c5\u03c0\u03b1\u03c1\u03c7\u03cc\u03bd\u03c4\u03c9\u03bd \u03bc\u03b5\u03bb\u03b5\u03c4\u03ce\u03bd (79-81). \u038c\u03c3\u03bf\u03bd \u03b1\u03c6\u03bf\u03c1\u03ac \u03c3\u03c4\u03b7\u03bd \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03bd\u03cc\u03c3\u03bf\u03c5, \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03b1\u03c1\u03cc\u03bc\u03bf\u03b9\u03b1 \u03bc\u03b5 \u03c4\u03c9\u03bd \u03b5\u03bd\u03b7\u03bb\u03af\u03ba\u03c9\u03bd (27,31). \u03a4\u03bf \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc \u03c4\u03b5\u03ba\u03bc\u03b7\u03c1\u03b9\u03c9\u03bc\u03ad\u03bd\u03b7\u03c2 \u03ba\u03b1\u03ba\u03bf\u03b7\u03b8\u03b5\u03af\u03b1\u03c2 \u03c3\u03b5 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ad\u03c2 \u03c3\u03b5\u03b9\u03c1\u03ad\u03c2 \u03b1\u03bd\u03ad\u03c1\u03c7\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf 26% (81,83) \u03ba\u03b1\u03b9 \u03c4\u03bf \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc \u03ba\u03b1\u03ba\u03bf\u03b7\u03b8\u03b5\u03af\u03b1\u03c2 \u03ae \u03c5\u03bb\u03b9\u03ba\u03bf\u03cd \u03c5\u03c0\u03cc\u03c0\u03c4\u03bf\u03c5 \u03b3\u03b9\u03b1 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1 \u03c3\u03b5 FNA \u03b1\u03bd\u03ad\u03c1\u03c7\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf 9% \u03ba\u03b1\u03b9 18%, \u03b1\u03bd\u03c4\u03af\u03c3\u03c4\u03bf\u03b9\u03c7\u03b1 (81-83). \u0395\u03c0\u03af\u03c3\u03b7\u03c2, \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03cc\u03c4\u03b9 \u03bf\u03b9 \u03b8\u03b5\u03c1\u03bc\u03bf\u03af \u03cc\u03b6\u03bf\u03b9 \u03c3\u03c4\u03b1 \u03c0\u03b1\u03b9\u03b4\u03b9\u03ac \u03ad\u03c7\u03bf\u03c5\u03bd \u03c5\u03c8\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03bf \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc \u03ba\u03b1\u03ba\u03bf\u03b7\u03b8\u03b5\u03af\u03b1\u03c2 (83). \u0395\u03c0\u03bf\u03bc\u03ad\u03bd\u03c9\u03c2, \u03bb\u03cc\u03b3\u03c9 \u03c4\u03b7\u03c2 \u03c7\u03b1\u03bc\u03b7\u03bb\u03ce\u03c4\u03b5\u03c1\u03b7\u03c2 \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2 \u03bf\u03b6\u03ce\u03b4\u03bf\u03c5\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae\u03c2 \u03bd\u03cc\u03c3\u03bf\u03c5 \u03c3\u03c4\u03b1 \u03c0\u03b1\u03b9\u03b4\u03b9\u03ac \u03ba\u03b1\u03b9 \u03c4\u03bf\u03c5 \u03c5\u03c8\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03bf\u03c5 \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03bf\u03cd \u03ba\u03b1\u03ba\u03bf\u03b7\u03b8\u03b5\u03af\u03b1\u03c2, \u03ad\u03c7\u03b5\u03b9 \u03ba\u03b1\u03c4\u03b1\u03b3\u03c1\u03b1\u03c6\u03b5\u03af \u03ba\u03b1\u03b9 \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b5\u03c1\u03b7 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03ce\u03c0\u03b9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03bd\u03cc\u03c3\u03bf\u03c5 \u03c3\u03c4\u03b1 \u03c0\u03b1\u03b9\u03b4\u03b9\u03ac \u03c3\u03c5\u03b3\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ac \u03bc\u03b5 \u03c4\u03bf\u03c5\u03c2 \u03b5\u03bd\u03ae\u03bb\u03b9\u03ba\u03b5\u03c2.<\/p>\n<h4 style=\"text-align: justify;\"><strong>\u0392\u03b9\u03b2\u03bb\u03b9\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1<\/strong><\/h4>\n<p style=\"text-align: left;\">1. 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Endocr Relat Cancer 2006; 13: 427-453<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: left;\">Created: October 30, 2014<br \/>\nLast update: October 30, 2014<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0392\u03b1\u03c3\u03b9\u03bb\u03ac\u03c4\u03bf\u03c5 \u0395\u03c5\u03b1\u03b3\u03b3\u03b5\u03bb\u03af\u03bd\u03b1 \u0395\u03bd\u03b4\u03bf\u03ba\u03c1\u03b9\u03bd\u03bf\u03bb\u03cc\u03b3\u03bf\u03c2, \u0395\u03c0\u03b9\u03bc\u03b5\u03bb\u03ae\u03c4\u03c1\u03b9\u03b1 \u0391\u0384, \u0395\u03bd\u03b4\u03bf\u03ba\u03c1\u03b9\u03bd\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u039c\u03bf\u03bd\u03ac\u03b4\u03b1, \u0392\u0384 \u03a0\u03c1\u03bf\u03c0\u03b1\u03b9\u03b4\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03a0\u03b1\u03b8\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u039a\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae, \u03a0\u03b1\u03bd\u03b5\u03c0\u03b9\u03c3\u03c4\u03b7\u03bc\u03b9\u03b1\u03ba\u03cc \u039d\u03bf\u03c3\u03bf\u03ba\u03bf\u03bc\u03b5\u03af\u03bf \u00ab\u0391\u03a4\u03a4\u0399\u039a\u039f\u039d\u00bb \u0399\u03c9\u03ac\u03bd\u03bd\u03b1 \u03a4\u03b6\u03b1\u03b2\u03ac\u03c1\u03b1 \u0399\u03c9\u03ac\u03bd\u03bd\u03b1 \u03a4\u03b6\u03b1\u03b2\u03ac\u03c1\u03b1, \u0394\u03b9\u03b5\u03c5\u03b8\u03cd\u03bd\u03c4\u03c1\u03b9\u03b1 \u0395\u03bd\u03b4\u03bf\u03ba\u03c1\u03b9\u03bd\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03bf\u03cd \u03a4\u03bc\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u0393\u03b5\u03bd\u03b9\u03ba\u03bf\u03cd \u039d\u03bf\u03c3\u03bf\u03ba\u03bf\u03bc\u03b5\u03af\u03bf\u03c5 \u00ab\u0391. \u03a6\u039b\u0395\u039c\u0399\u0393\u039a\u00bb \u0395\u03b9\u03c2 \u03bc\u03bd\u03ae\u03bc\u03b7\u03bd \u0399. \u03a4\u03b6\u03b1\u03b2\u03ac\u03c1\u03b1 &nbsp; 1. \u039f\u03c1\u03b9\u03c3\u03bc\u03cc\u03c2 \u039f \u03cc\u03b6\u03bf\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03bc\u03af\u03b1 \u03b5\u03c3\u03c4\u03b9\u03b1\u03ba\u03ae \u03b2\u03bb\u03ac\u03b2\u03b7 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03c0\u03b1\u03c1\u03b5\u03b3\u03c7\u03cd\u03bc\u03b1\u03c4\u03bf\u03c2, \u03b7 \u03bf\u03c0\u03bf\u03af\u03b1 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b4\u03b9\u03b1\u03c0\u03b9\u03c3\u03c4\u03c9\u03b8\u03b5\u03af \u03ba\u03b1\u03c4\u03ac \u03c4\u03b7\u03bd \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 \u03ae\/\u03ba\u03b1\u03b9 \u03bc\u03b5 \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03ad\u03c2 \u03bc\u03b5\u03b8\u03cc\u03b4\u03bf\u03c5\u03c2. 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