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

고진철; 고건; 최상용; 박신희; 이광찬; 김진승

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자료유형: 학술저널

저자정보: 고진철 고건 최상용 박신희 이광찬 김진승

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

발행연도: 2010.1

수록면: 224 - 228 (5page)

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연구배경

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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)

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

참고문헌 (13)

참고문헌 신청

American Association of Clinical Endocrinologists and Associzione / 2006 / Midici Endocrinologi medical guidelines for clinical practice for the diagnosis and management of t

Brander A / 1991 / Thyroid gland: US screening in a random adult population / Radiology 181 : 683 ~ 687

Cochand-Priollet B / 1994 / The diagnostic value of fine-needle aspiration biopsy under ultrasonography in nonfunctional thyroid nodules: a prospective study comparing cytolo

Frates MC / 2005 / Management of thyroid nodules detected at US: Society of Radiologists in Ultrasound consensus conference statement / Radiology 237 : 794 ~ 800

Harach HR / 1985 / Occult papillary carcinoma of the thyroid. A “normal” finding in Finland. A systemic autopsy study / Cancer 56 : 531 ~ 538

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