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细针穿刺活检在甲状腺结节诊断中的地位。

The place of fine needle biopsy in the diagnosis of nodules of the thyroid.

作者信息

Schwartz A E, Nieburgs H E, Davies T F, Gilbert P L, Friedman E W

出版信息

Surg Gynecol Obstet. 1982 Jul;155(1):54-8.

PMID:7089835
Abstract

Fine needle aspiration cytology with an accuracy rate of 90.2 per cent confirmed by surgical specimens was found to be a useful adjunct in the diagnosis of tumors of the thyroid but did not replace large needle core biopsy. Both methods offered information complementary to each other, and our data indicated that, when possible, they should be used together. Although both false-positive and false-negative results were reported with fine needle cytology aspiration biopsy, it was the false-negative reports which limited its use as a definitive diagnostic tool. Fine needle aspiration biopsy, however, did constitute a safe and useful method of increasing diagnostic ability in the evaluation of thyroid nodules.

摘要

经手术标本证实准确率为90.2%的细针穿刺细胞学检查,是甲状腺肿瘤诊断中一种有用的辅助手段,但不能替代粗针穿刺活检。两种方法提供互补信息,我们的数据表明,在可能的情况下,应将它们一起使用。虽然细针穿刺细胞学活检报告了假阳性和假阴性结果,但正是假阴性报告限制了其作为确定性诊断工具的应用。然而,细针穿刺活检确实是一种在评估甲状腺结节时提高诊断能力的安全且有用的方法。

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1
The place of fine needle biopsy in the diagnosis of nodules of the thyroid.细针穿刺活检在甲状腺结节诊断中的地位。
Surg Gynecol Obstet. 1982 Jul;155(1):54-8.
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[Cytodiagnosis by fine-needle aspiration (FNAB) in thyroid dysplasias and neoplasms observed in 1983-1987].[1983年至1987年观察到的甲状腺发育异常和肿瘤的细针穿刺抽吸(FNAB)细胞诊断]
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Fine needle aspiration of the thyroid. Five years' experience with 183 patients.甲状腺细针穿刺。183例患者的五年经验。
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[Fine-needle aspiration biopsy in the diagnosis of thyroid diseases (author's transl)].细针穿刺活检在甲状腺疾病诊断中的应用(作者译)
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Simultaneous fine-needle aspiration and core-needle biopsy of thyroid nodules.甲状腺结节的同步细针穿刺和粗针活检
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[Evaluation of fine needle aspiration cytology in the diagnosis of thyroid diseases].[细针穿刺细胞学检查在甲状腺疾病诊断中的评估]
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A study of the importance of fine needle aspiration cytology in the diagnosis of the solitary thyroid nodule.一项关于细针穿刺细胞学检查在孤立性甲状腺结节诊断中的重要性的研究。
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引用本文的文献

1
Diagnostic Accuracy of Fine-Needle Biopsy in the Detection of Thyroid Malignancy: A Systematic Review and Meta-analysis.细针活检在甲状腺恶性肿瘤检测中的诊断准确性:系统评价和荟萃分析。
JAMA Surg. 2022 Dec 1;157(12):1105-1113. doi: 10.1001/jamasurg.2022.4989.
2
Fine needle aspiration biopsy of thyroid nodules.甲状腺结节的细针穿刺活检
Ann Surg. 1983 Jul;198(1):70-3. doi: 10.1097/00000658-198307000-00014.
3
A prospective controlled study of fine-needle aspiration and Tru-cut needle biopsy of dominant thyroid nodules.
World J Surg. 1984 Aug;8(4):458-65. doi: 10.1007/BF01654913.
4
False-negative errors in fine-needle aspiration biopsy of dominant thyroid nodules: a prospective follow-up study.甲状腺优势结节细针穿刺活检中的假阴性错误:一项前瞻性随访研究。
World J Surg. 1986 Aug;10(4):623-30. doi: 10.1007/BF01655540.