촉지되지 않고 우연히 발견되는 갑상선 결절에서초음파 유도하 세침흡인검사의 의의Ultrasonography-Guided Fine Needle Aspiration of IncidentallyDetected Nonpalpable Thyroid Nodule
- Authors
- 박성윤; 위민우; 조항선; 이세영; 양훈식
- Issue Date
- 2007
- Publisher
- 대한이비인후과학회
- Keywords
- Ultrasonography; Fine needle aspiration; Thyroid nodule; 초음파; 미세침흡인세포검사법; 갑상선결절
- Citation
- 대한이비인후과학회지 두경부외과학, v.50, no.7, pp 622 - 626
- Pages
- 5
- Journal Title
- 대한이비인후과학회지 두경부외과학
- Volume
- 50
- Number
- 7
- Start Page
- 622
- End Page
- 626
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/29920
- ISSN
- 2092-5859
2092-6529
- Abstract
- Background and Objectives:With the availability of more sensitive ultrasonography, a larger number of nonpalpable thyroid d nodule. The purpose of this study is to investigate the clinical significance of thyroid incidentaloma and the usefulnes of the USG-FNA in the management of thyroid incidentaloma. Subjects and Method:A retrospective study was performed on 208 pa-tients who underwent USG-FNA for thyroid incidentaloma smaller than 1.5 cm from 2001 to 2005. The cytologic findings were compared with the ultrasonographic findings and the surgical pathology. Results:Suspicious malignant sonographic findings cytologicaly diagnosed as benign lesion (76.4%), 7 cases as follicular neoplasm (3.3%), 33 cases as malignancy (15.8%), and 9 cases as inadequate specimen (4.4%). Of the 40 cases with folicular neoplasm and malignant cytology, 37 cases underwent sur-gery and 30 cases were confirmed to malignancy on the postoperative pathologic diagnosis. In the cases diagnosed to malig-nancy on pathology, extracapsular extension was present in 9 cases (30% ) (26.7%). The sensitivity, specificity, and accuracy of the USG-FNA for malignancy were 93.3%, 71.4%, and 89.1%, respectively. Conclusion:USG-FNA is a useful diagnostic tol in the management of thyroid incidentaloma especially when more than two suspicious malig-nant sonographic findings need to be detected. The clinical characteristics is not significantly diferent between palpable and nonpalpable nodules. (Korean J Otorhinolaryngol-Head Neck Surg 2007 ;50 :622-6)
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > College of Medicine > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/29920)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.