细针吸取细胞学对甲状腺结节的术前诊断价值分析  

Preoperative value of fine needle aspiration cytology in the diagnosis of thyroid nodule

作　　者：陈娟[1] 唐艳[1] 苏学英[2] 杨鹏[1] 李韵[1] 

机构地区：[1]成都市第三人民医院病理科,成都610031 [2]四川大学华西医院病理科,成都610041

出　　处：《诊断病理学杂志》2017年第5期363-366,共4页Chinese Journal of Diagnostic Pathology

摘　　要：目的评价FNAC检查对甲状腺结节术前诊断价值。方法对209例甲状腺结节患者FNAC及术后组织病理学检查结果进行回顾性比较、分析。结果 209例中,标本无法诊断占9.1%(19例),良性病变占47.4%(99例),意义不明确的细胞非典型性病变或意义不明确的滤泡性病变占6.7%(14例),滤泡性肿瘤或可疑滤泡性肿瘤占6.2%(13例),可疑恶性肿瘤占11%(23例),恶性肿瘤占19.6%(41例)。通过术后组织病理学核对,FNAC敏感度为88.3%,特异度为91.5%,准确率为90.5%,过诊率为8.5%,漏诊率为11.7%,总误诊率为9.5%。结论 FNAC检查敏感度和特异度高,是术前评估甲状腺结节良、恶性较可靠的方法。Objective To evaluate the preoperative value of fine needle aspiration cytology in the diagnosis of thyroid nodule. Methods A retrospective review and comparison were performed among 209 consecutive cases of thyroid nodules with FNA cytology and postoperative pathologic diagnosis. Results Among 209 cases, FNAs were 9.1% unsatisfactory, 47.4% benign, 6.7% AUS/FLUS, 6.2% FN/SFN, 11% suspicious, and 19.6% malignant. The sensitivity, specificity, accuracy rate, overdiagnosis rate, missed diagnosis rate and misdiagnosis rate of FNA were 88.3 % , 91.5% , 90. 5 % , 8.5 % , 11.7% and 9. 5 % , respectively. Conclusions Fine needle aspiration is a very reliable preoperative diagnostic method with high sensitivity and specificity in identification of benign or malignant thyroid nodules.

关 键 词：甲状腺结节 细针吸取细胞学 诊断 

分 类 号：R736.1[医药卫生—肿瘤]