甲状腺细针吸收和病理检查之间的相关性:一项10年后期研究
Rodrigo Ribeiro E Silva1, Vinicius Ribas de Abreu Borges1, Alexandre Grunfeld Starling Jardim1
1Department of Medicine , Universidade da Região de Joinville , Joinville , SC , Brazil .
Einstein (Sao Paulo, Brazil)
|December 21, 2023
概括
精细针吸收 (FNA) 可以准确地区分良性与恶性甲状腺瘤. 这项研究证实了FNA.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 甲状腺结节很常见,准确的手术前诊断对于适当的管理至关重要.
- 精细针吸收 (FNA) 是甲状腺结节的主要诊断工具,但其性能各不相同.
- 甲状腺切除术后的组织病理学检查是诊断甲状腺瘤的黄金标准.
研究的目的:
- 评估细针吸收 (FNA) 在识别良性和恶性甲状腺瘤的诊断性能.
- 为了比较FNA结果与甲状腺切除术后的组织病理学发现.
- 为了确定甲状腺病理的FNA的准确性,敏感性,特异性和预测值.
主要方法:
- 在2011年至2021年期间接受甲状腺切除术的360名患者的回顾性分析.
- 甲状腺瘤使用贝塞斯达系统进行细胞学诊断进行分类.
- 诊断准确度,灵敏度,特异性和预测值被计算出来,并与组织病理学进行比较.
主要成果:
- 在360名患者中,142名 (39.4%) 患有良性瘤,218名 (60.6%) 患有恶性瘤.
- 针对癌症的FNA的整体诊断准确率为92%,灵敏度为94.4%,特异性为86.9%.
- 对FNA的积极和消极预测值分别为93.9%和87.9%.
结论:
- 精细针吸收显示了高的诊断准确性,灵敏度和特异性在评估甲状腺结节.
- 在手术前,FNA是区分良性与恶性甲状腺疾病的可靠方法.
- 这些发现支持FNA作为甲状腺结节管理中的关键诊断工具的持续使用.
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