Droese M, Kempken K
Med Klin. 1976 Feb 6;71(6):229-34.
879 fine-needle biopsies obtained from 754 patients with palpable lesions of the thyroid were evaluated. Cold nodules were identified in the scintigram of 509 patients. The cytologic findings could be checked by histology in 102 cases. 24 out of 26 malignant tumors of the thyroid were recognized cytologically. In 23 cases the tumor type was correctly identified by cytology. The cytologic report was false negative in two cases. Follicular adenoma and follicular carcinoma are not distinguishable on cytologic grounds. In 14.7% of patients the cytologic report stated cystic lesions and in 1.7% of patients inflammatory lesions.
对754例可触及甲状腺病变患者的879份细针穿刺活检样本进行了评估。509例患者的闪烁扫描图中发现了冷结节。102例病例的细胞学检查结果可通过组织学检查进行核实。26例甲状腺恶性肿瘤中有24例通过细胞学检查得以确诊。23例病例的肿瘤类型通过细胞学检查被正确识别。有2例病例的细胞学报告为假阴性。滤泡性腺瘤和滤泡性癌在细胞学上无法区分。14.7%的患者细胞学报告显示为囊性病变,1.7%的患者显示为炎性病变。