촉지되지 않고 우연히 발견되는 갑상선 결절에서초음파 유도하 세침흡인검사의 의의

박성윤; 위민우; 조항선; 이세영; 양훈식

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자료유형: 학술저널

저자정보: 박성윤 위민우 조항선 이세영 양훈식

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제50권 제7호

발행연도: 2007.1

수록면: 622 - 626 (5page)

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연구주제

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연구배경

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연구방법

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연구결과

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Background and Objectives：With the availability of more sensitive ultrasonography, a larger number of nonpalpable thyroid d nodule. The purpose of this study is to investigate the clinical significance of thyroid incidentaloma and the usefulnes of the USG-FNA in the management of thyroid incidentaloma. Subjects and Method：A retrospective study was performed on 208 pa-tients who underwent USG-FNA for thyroid incidentaloma smaller than 1.5 cm from 2001 to 2005. The cytologic findings were compared with the ultrasonographic findings and the surgical pathology. Results：Suspicious malignant sonographic findings cytologicaly diagnosed as benign lesion (76.4%), 7 cases as follicular neoplasm (3.3%), 33 cases as malignancy (15.8%), and 9 cases as inadequate specimen (4.4%). Of the 40 cases with folicular neoplasm and malignant cytology, 37 cases underwent sur-gery and 30 cases were confirmed to malignancy on the postoperative pathologic diagnosis. In the cases diagnosed to malig-nancy on pathology, extracapsular extension was present in 9 cases (30% ) (26.7%). The sensitivity, specificity, and accuracy of the USG-FNA for malignancy were 93.3%, 71.4%, and 89.1%, respectively. Conclusion：USG-FNA is a useful diagnostic tol in the management of thyroid incidentaloma especially when more than two suspicious malig-nant sonographic findings need to be detected. The clinical characteristics is not significantly diferent between palpable and nonpalpable nodules. (Korean J Otorhinolaryngol-Head Neck Surg 2007 ;50 :622-6)

#초음파·미세침흡인세포검사법·갑상선결절. #Ultrasonography· Fine needle aspiration· Thyroid nodule.

참고문헌 (16)

참고문헌 신청

/ 1996 / Small carcinomas of thyroid: A long term follow-up of 867 patients 131 (2) : 187 ~ 191

/ 1996 / Thyroid cancer detected by ultrasound-guided fine needle aspiration biopsy 20 (7) : 848 ~ 853

/ 1997 / Thyroid Incidentalomas: Management approaches to nonpalpable nodules discovered incidentally on thyroid imaging 126 (3) : 226 ~ 231

/ 1998 / The role of ultrasonography-guided fine-needle aspiration biopsy in the management of nonpalpable and palpable thyroid nodules 8 (6) : 511 ~ 515

/ 1999 / Significance of fine-needle aspiration cytology and frozen section biopsy of thyroid nodules 42 (7) : 886 ~ 890

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