Ultrasound-guided fine needle aspiration in the diagnosis of thyroid nodule.
- VernacularTitle:超声引导下细针吸取细胞学检查对甲状腺结节的诊断价值
- Author:
Wen-bo LI
1
;
Qing-li ZHU
;
Bo ZHANG
;
Yu-xin JIANG
;
Di YANG
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Biopsy, Fine-Needle; methods; Child; Child, Preschool; Female; Humans; Male; Middle Aged; Sensitivity and Specificity; Thyroid Nodule; diagnostic imaging; pathology; Ultrasonography; Young Adult
- From: Acta Academiae Medicinae Sinicae 2010;32(1):76-80
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the efficacy of ultrasound-guided fine-needle aspiration (US-FNA) in the diagnosis of thyroid nodules.
METHODSUS-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.
RESULTSAmong 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%).
CONCLUSIONUS-FNA is accurate and reliable in diagnosing thyroid nodules.
