갑상선 결절에 대한 세침흡인 세포검사에서 비진단적 검체의 특징과 치료 전략

박순태; 김주연; 정은정; 정상호; 주영태; 정치영; 이영준; 홍순찬; 최상경; 하우송

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자료유형: 학술저널

저자정보: 박순태 김주연 정은정 정상호 주영태 정치영 이영준 홍순찬 최상경 하우송

저널정보: 대한갑상선-내분비외과학회 The Journal of Endocrine Surgery The Journal of Endocrine Surgery 제10권 제4호

발행연도: 2010.1

수록면: 245 - 248 (4page)

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Purpose: The management of non-diagnostic fine needle aspiration biopsy of thyroid nodules has been a dilemma. The purposes of this study were to analyze the characteristics and the results of follow up of non-diagnostic aspirates and to evaluate the management strategy. Methods: A retrospective review was conducted on the patients who underwent fine-needle aspiration of thyroid nodules that were found on a health examination. The patients’ records were assessed for the demographics, the ultrasound findings and the pathologic findings. Results: The initial non-diagnostic rate was 35%. The nodule size (≤10 mm) and cystic nodule were related to a high rate of non-diagnostic results. The common causes of non-diagnostic results by pathologic description were reducedcellularity (59.3%) and blood (28.2%). Among the 62 initially non-diagnosed patients, 2 patients were confirmed to have malignancy and 32 patients (51.6%) were lost from follow-up. Reaspiration was performed in 18 patients and 6 patients still resulted non-diagnostic aspirates. Conclusion: Nodule size and cystic nodule were associated with a high rate of non-diagnostic results. Non-diagnostic results of thyroid nodules may be associated with a relatively high frequency of follow up loss, and non-diagnostic results may be associated with a probability of malignancy. So, non-diagnostic results should not be considered just be nign, and clinicians should recommend a repeat exam for such patients. (Korean J Endocrine Surg 2010;10:245-248)

#갑상선 결절 #세침흡인 세포 검사 #비 진단적 #Thyroid nodules #Fine-needle aspiration cytology #Non-diagnotic

참고문헌 (23)

참고문헌 신청

Alexander EK / 2002 / Assessment of nondiagnostic ultrasound- guided fine needle aspirations of thyroid nodules / J Clin Endocrinol Metab 87 : 4924 ~ 4927

Carmeci C / 1998 / Ultrasound-guided fine-needle aspiration biopsy of thyroid masses / Thyroid 8 : 283 ~ 289

Carpi A / 2009 / Galectin-3 detection on large-needle aspiration biopsy improves preoperative selection of thyroid nodules: A prospective cohort study / Annals of Medicine :

Chang HY / 1997 / Correlation of fine needle aspiration cytology and frozen section biopsies in the diagnosis of thyroid nodules / J Clin Pathol 50 : 1005 ~ 1009

ChoiYG / 2006 / The effect of tumor characteristics on the repeated nondiagnostic fine-needle aspiration biopsy results in thyroid nudules / Korean J Endocrine Surg 6 : 6 ~

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