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[甲状腺细针穿刺活检的组织细胞学相关性]

[Histocytological correlation in fine needle aspiration biopsy of the thyroid gland].

作者信息

Ribeiro C A, Brasileiro Filho G

机构信息

Departamento de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte.

出版信息

Rev Assoc Med Bras (1992). 1996 Apr-Jun;42(2):73-8.

PMID:9110453
Abstract

PURPOSE

To correlate cytological diagnosis with the anatomicopathological ones to assess the accuracy of cytological examination as a diagnostic test.

CASES AND METHOD

The results of 328 cytological diagnoses were compared with the corresponding anatomicopathological results from surgical specimens.

RESULTS

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%.

CONCLUSION

Based on these results and owing to its relative simplicity, this study also documents the FNAB usefulness as a diagnostic method for thyroid diseases.

摘要

目的

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。

病例与方法

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。

结果

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%。

结论

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。

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