세침흡인검사에서 불확정으로 진단된 갑상선결절에서의 암발생률

최동일; 양윤수; 소상수; 이은정; 홍기환

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자료유형: 학술저널

저자정보: 최동일 양윤수 소상수 이은정 홍기환

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제49권 제11호

발행연도: 2006.1

수록면: 1,096 - 1,100 (5page)

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연구결과

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Background and Objectives：The optimal management of cytologically indeterminate thyroid nodules is controversial given thevariable malignancy rates reported in this patient population. We examined the prevalence of malignancy within cytologically indeterminateatypical and follicular thyroid lesions in an attempt to predict malignancy based on cytologic features. Subjects andMethod：Cytopathologic reports obtained after fine-needle aspiration biopsy (FNAB) examination of indeterminate follicularthyroid lesions were studied over a 2-year period. The prevalence of malignancy on final pathology was determined in 2 indeterminatecytopathologic categories. Results：A total of 138 records were available (122 women, 16 men). The mean patient age was45.5±13.5 years. All patients underwent surgery and had histopathologic diagnosis. The prevalence of malignancy in atypicaland follicular thyroid lesions were 77.7% (42 of 54) and 17.8% (15 of 84), respectively. Conclusion：The high prevalence ofmalignancy within indeterminate atypical and follicular thyroid lesions may necessitate thyroidectomy for patients with indeterminateatypical and follicular lesions on the FNAB examination. (Korean J Otolaryngol 2006;49:1096-100)

#세침흡인검사·갑상선암·발생률. #Fine-needle aspiration·Thyroid neoplasms·Incidence.

참고문헌 (17)

참고문헌 신청

/ / Johnson DA. Fine-needle aspiration cytologyof the thyroid. A 12-year experience with 11 : 000 699 ~ 1993 709

/ 1995 / Diagnostic accuracy and role of fine needle aspirationcytology in management of thyroid nodules 58 (3) : 168 ~ 172

/ 1998 / Fine-needleaspiration of thyroid: An institutional experience 8 (7) : 565 ~ 569

/ 1999 / Follicular orHurthle cell neoplasm of the thyroid Can clinical factors be used topredict carcinoma and determine extent of thyroidectomy 126 (4) : 798 ~ 804

/ 1999 / Significance of fine-needle aspiration cytology and frozen section biopsyof thyroid nodules 42 (11) : 886 ~ 890

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