Ultrasound-guided fine needle aspiration in the diagnosis of thyroid nodule / 中国医学科学院学报
Acta Academiae Medicinae Sinicae
; (6): 76-80, 2010.
Article
in Zh
| WPRIM
| ID: wpr-301590
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the efficacy of ultrasound-guided fine-needle aspiration (US-FNA) in the diagnosis of thyroid nodules.</p><p><b>METHODS</b>US-FNA was performed for 175 thyroid nodes in 168 patients aged 4 to 75 years in Peking Union Medical College Hospital from November 2004 to December 2008. The diagnostic data obtained from US-FNA were compared with those confirmed by surgical pathology and clinical follow-up. The US-FNA results were classified as benign, malignant, suspicious, or unsatisfactory.</p><p><b>RESULTS</b>Among these 175 thyroid nodules, surgical pathology and clinical follow-up confirmed that there were 39 malignant nodules and 136 benign nodules, while US-FNA showed that 124 aspirates (70.9%) were benign, 24 (13.7%) were malignant, 14 (8.0%) were suspicious, and 13 (7.4%) were unsatisfactory for interpretation. For US-FNA, the sensitivity was 81.1%, specificity was 93.6%, accuracy was 90.7%positive predictive value was 78.9%and negative predictive value was 94.4%. Post-puncture bleeding was observed in 3 nodules (1.7%).</p><p><b>CONCLUSION</b>US-FNA is accurate and reliable in diagnosing thyroid nodules.</p>
Full text:
1
Database:
WPRIM
Main subject:
Pathology
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Diagnostic Imaging
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Ultrasonography
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Sensitivity and Specificity
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Thyroid Nodule
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Biopsy, Fine-Needle
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Methods
Type of study:
Diagnostic_studies
Limits:
Adolescent
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Adult
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Aged
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Child
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Child, preschool
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Female
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Humans
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Male
Language:
Zh
Journal:
Acta Academiae Medicinae Sinicae
Year:
2010
Document type:
Article