갑상선 결절에서 세침흡인검사와 동결조직검사의 의의

• 영문명: Significance of Fine-Needle Aspiration Cytology and Frozen Section Biopsy in Thyroid Nodules
• 발행기관: 대한두경부종양학회
• 저자명: 송달원(Dal Won Song) 손수길(Su Gil Sohn) 최종원(Jong Won Choi) 신승진(Seung Jin Shin) 김태종(Tae Jong Kim) 남성일(Sung Il Nam) 안병훈(Byung Hoon Ahn)
• 간행물 정보: 『대한두경부종양학회지』제19권 제1호, 52~57쪽, 전체 6쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 2003.05.30

영문 초록

Background and Objectives: Fine needle aspiration (FNA) cytology is a simple, safe and relatively accurate procedure of diagnosing thyroid nodules. Although the frozen section biopsy is well known as more reliable method than FNA and has high specificity, whether it is necessary it leaves room for adverse criticism. Authors have compared preoperative FNA cytology and frozen section biopsy with permanent histologic findings and evaluated the significance of FNA cytology and frozen section biopsy. Materials and Methods: The medical records of 110 patiens who underwent FNA cytology and frozen section during thyroidectomy from September. 1997 to December. 2001 at the Department of Otolaryngology, School of Medicine, Keimyung University were analyzed retrospectively. Results: Sensitivity, specificity, accuracy of FNA was 75%, 91.4%, and 85.5% respcetively. Sensitivity, specificity and accuracy rate of frozen section biopsy were 92.5%, 100% and 97.3% respectively. Conclusion: FNA is simple, with rare complication and its diagnostic accuracy is comparatively so high that it is being used as primary test to diagnosis thyroid nodules. But frozen section is more accurate and may be helpful to suspicious FNA findings or if it beyond capacity of FNA. Therefore despite of the fact that the intra-operative frozen is more expensive and time consuming, it is very helpful to the treatment of thyroid nodules by using jointly with FNA.

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키워드

갑상선 결절 세침 흡인 검사 동결조직검사 Thyroid nodule Fine needle aspiration cytology Frozen section biopsy