Müller N, Cooperberg P L, Suen K C, Thorson S C
AJR Am J Roentgenol. 1985 Feb;144(2):251-3. doi: 10.2214/ajr.144.2.251.
The records of 11 patients with cystic papillary carcinoma of the thyroid who had undergone preoperative sonography and fine-needle aspiration biopsy were retrospectively reviewed. The lesions varied from 1.5 to 5 cm in diameter. In only six (55%) of the 11 patients was the correct diagnosis made preoperatively. In the other 45%, the lesion was initially misdiagnosed as a benign or hemorrhagic cyst. These data indicate that needle aspiration often yields false-negative results in patients with cystic papillary carcinoma. All patients diagnosed on sonography and fine-needle aspiration as having benign cysts should have continued clinical follow-up. If lesions do not disappear either clinically or by sonography, a more aggressive approach should be taken.
对11例接受过术前超声检查和细针穿刺活检的甲状腺囊性乳头状癌患者的记录进行了回顾性研究。病变直径从1.5厘米到5厘米不等。11例患者中只有6例（55%）在术前做出了正确诊断。在另外45%的患者中，病变最初被误诊为良性或出血性囊肿。这些数据表明，对于囊性乳头状癌患者，细针穿刺活检常常会得出假阴性结果。所有经超声检查和细针穿刺活检诊断为良性囊肿的患者都应继续接受临床随访。如果病变在临床上或超声检查中没有消失，就应采取更积极的治疗方法。
