经B超引导FNAC对甲状腺微小癌的诊断价值  

Value of fine needle aspiration in cytological diagnosis for minor thyroid carcinoma by B-ultrasonic guide

作　　者：陈冰[1] 解建军[1] 梁风泉[1] 任玉波[2] 

机构地区：[1]聊城市第二人民医院病理科,山东临清252601 [2]聊城市人民医院病理科,山东聊城252052

出　　处：《诊断病理学杂志》2004年第4期228-229,I060,共3页Chinese Journal of Diagnostic Pathology

摘　　要：目的　探讨经B超引导细针吸取细胞学检查 (FNAC)对甲状腺微小癌的诊断价值。方法　在B超引导下有选择的对可以触及的甲状腺小结节、多结节和不易触及的微小结节进行FNAC。结果　经术后病理组织学证实的 2 3例微小癌均为乳头状癌 ,细胞学诊断正确者 2 1例 ,(91 3% ) ,漏诊 2例 (8 7% ) ,癌灶最大直径 1cm ,最小直径0 4cm ,多数直径为 0 6～ 0 8cm ,重复穿刺 8例。结论　经B超引导FNAC能提高甲状腺早期癌的诊断正确率 ,是术前获取病理诊断最有效的方法。Objective To discuss the value of fine needle aspiration(FNA) for minor thyroid carcinoma by B-ultrasonic guide. Methods We selected FNA by B-ultrasonic guide for thyroid nodule with very small size. Results 21 cases(91 3%) were diagnosed as papillary carcinomas by FNA which were proved by post-operation pathology. 2 cases were under diagnosed.The biggest diameter of the tumor was 1?cm and the smallest 0 4?cm,with average of 0 6～0 8?cm. Conclusion FNA cytological examination can improve the correct diagnostic rate for minor thyroid carcinoma by B-ultrasonic guide. It is the most effective diagnosic method for pre-operation thyroid diseases.

关 键 词：FNAC B超引导 甲状腺微小癌 诊断价值 结节 细针吸取细胞学检查 乳头状癌 组织学 获取 

分 类 号：R736.1[医药卫生—肿瘤] R737[医药卫生—临床医学]