외과 의사에 의해 시행된 갑상선 결절의 악성 종양을 시사하는 초음파 소견의 분석

• 영문명: Sonographic Analysis of Malignant Thyroid Nodules by Surgeon
• 발행기관: 대한내분비외과학회
• 저자명: 고건 고진철¹ 최상용 박신희 이광찬¹ 김진승¹ Gun Go M.D. Jin Chul Koh M.D.¹ Sang Yong Choi M.D. Shin Hee Park M.D. Kwang Chan Lee M.D.¹ and Chin Seung Kim M.D.¹
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』10권4호, 224~228쪽, 전체 5쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2010.12.30

영문 초록

Purpose: Ultrasound is most effective study for evaluating thyroid nodules. In this review, we discuss that sonographic findings to differentiate benign from malignant nodules and suggest recommendations for indications of fine needle aspiration biopsy and thyroid nodule management. Methods: Sonographic scans of 206 thyroid nodules in 164 patients were candidated for this study. We evaluated sonographic findings by shape, calcification, margin, and echogenicity, retrospectively. Sonographic findings that suggested malignancy included microcalcifications, a speculated margin, marked hypoechogenicity and a shape that was taller than wide. The final diagnosis of lesion as benign (n=180) or malignant (n=26) was confirmed by fine needle aspiration biopsy and follow-up (＞6 months). We demonstrated the difference of the sensitivity, specificity, positive predictive value, negative predictive value and accuracy. Results: Of 206 thyroid nodules, 26 were malignant. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy based on our sonographic classification method were 84.6%, 73.9%, 31.9%, 97.0% and 75.2%. Conclusion: Sonography can be helpful for making the differentiation between and malignant nodules. So, when well trained surgeon find thyroid nodules on sonography, we can make correct diagnosis of malignant nodules. (Korean J Endocrine Surg 2010;10:224-228)

키워드

갑상선 악성 결절, 초음파, 미세침흡인술,Malignant thyroid nodule, Sonography, Fine- needle aspiration biopsy