Diagnosis of thyroid nodules with ultrasound-guided fine needle aspiration: comparison of solid lesion and complex lesion
10.3760/cma.j.issn.1004-4477.2011.08.012
- VernacularTitle:超声引导下细针吸取活检对甲状腺囊实性结节与实性结节的诊断价值比较
- Author:
Wen-bo LI
;
Qing-li ZHU
;
Yu-xin NG JIA
;
Bo ZHANG
;
Qing DAI
;
Pin GAO
;
Di YANG
;
Jian SUN
;
Xiao-ping XING
;
Xiao-lan LIAN
- Publication Type:Journal Article
- Keywords:
Ultrasonography;
Biopsy,needle;
Thyroid neoplasms
- From:Chinese Journal of Ultrasonography
2011;20(8):680-683
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the efficacy of ultrasound-guided fine-needle aspiration(US-FNA)biopsy in diagnosing solid and complex thyroid nodules with different size. Methods One hundred and seventy-five thyroid FNA biopsies were prospectively performed on 168 patients ranging from 4 to 75 years of age. Sixty-three nodules were surgically excised and the others were clinically followed-up. The cytology diagnoses were categorized into four groups: benign, malignant, suspicious and unsatisfactory. Results There was no significant complication in the all 115 solid and 60 complex thyroid lesions and there were 36and 3 malignant nodules respectively in solid and complex thyroid nodules. The nondiagnostic rates of solid and complex nodules were 7％ and 8％. The accuracy of US-FNA in diagnosing complex thyroid nodules was comparatively equal to that of in solid thyroid nodules. In solid thyroid nodules, the sensitivity and accuracy in ≤1 cm group were similar to that of in ＞1 cm group. Conclusions US-FNA was an accurate and reliable method to diagnose thyroid solid and complex lesions.
