Ribeiro C A, Brasileiro Filho G
Departamento de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte.
Rev Assoc Med Bras (1992). 1996 Apr-Jun;42(2):73-8.
To correlate cytological diagnosis with the anatomicopathological ones to assess the accuracy of cytological examination as a diagnostic test.
The results of 328 cytological diagnoses were compared with the corresponding anatomicopathological results from surgical specimens.
In all thyroid diseases the accuracy of the method was above 95%. Among the more frequent diseases, the sensitivity of the test was 98%, 69%, 81%, 85% and 89%, respectively for nodular colloid goiter, follicular neoplasms, Hashimoto's thyroiditis, papillary carcinoma and Hürthle-cell neoplasia; in all of them the test specificity was at least 89%.
Based on these results and owing to its relative simplicity, this study also documents the FNAB usefulness as a diagnostic method for thyroid diseases.
将细胞学诊断与解剖病理学诊断进行关联,以评估细胞学检查作为诊断试验的准确性。
将328例细胞学诊断结果与手术标本对应的解剖病理学结果进行比较。
在所有甲状腺疾病中,该方法的准确性均高于95%。在较常见的疾病中,该试验对结节性胶样甲状腺肿、滤泡性肿瘤、桥本甲状腺炎、乳头状癌和许特莱细胞肿瘤的敏感性分别为98%、69%、81%、85%和89%;在所有这些疾病中,试验特异性至少为89%。
基于这些结果,且由于其相对简单,本研究也证明了细针穿刺抽吸活检作为甲状腺疾病诊断方法的有效性。