甲状腺细针穿刺与病理检查之间的相关性:一项为期 10 年的回顾性研究。

IF 1.1 Q2 MEDICINE, GENERAL & INTERNAL
Einstein-Sao Paulo Pub Date : 2023-12-22 eCollection Date: 2023-01-01 DOI:10.31744/einstein_journal/2023AO0418
Rodrigo Ribeiro E Silva, Vinicius Ribas de Abreu Borges, Alexandre Grunfeld Starling Jardim, Maria Luisa Hostin Volpi, Leonora Zozula Blind Pope, Manuella Zattar Medeiros
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引用次数: 0

摘要

目的在接受甲状腺切除术的患者中,将细针穿刺术与甲状腺切除术后组织病理学检查结果进行比较,以确定细针穿刺术在检测良性和恶性肿瘤方面的诊断性能:纳入2011-2021年间收集的回顾性观察数据,这些数据来自接受部分或全部甲状腺切除术的患者。采用贝塞斯达系统将细针穿刺术中的肿瘤分为良性和恶性。对样本特征、诊断准确性、灵敏度、特异性和预测值进行了评估:分析了接受甲状腺切除术的患者(360 人),其中良性肿瘤和恶性肿瘤患者分别为 142 人(39.4%)和 218 人(60.6%)。根据贝塞斯达系统,23 例(6.4%)结果不满意(BI),83 例(23.1%)良性(BII),50 例(13.9%)非典型意义未定(BIII),23 例(6.4%)疑似滤泡或 Hürthle 细胞瘤(BIV),102 例(28.3%)疑似恶性(BV),79 例(21.9%)恶性(BVI)。细针穿刺诊断癌的准确率为 92%,敏感性和特异性分别为 94.4% 和 86.9%。阴性和阳性预测值分别为 87.9% 和 93.9%:细针穿刺具有较高的诊断准确性、敏感性和特异性,是区分甲状腺良性和恶性病变的可靠检测方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Correlation between thyroid fine needle aspiration and pathological examination: a 10 year retrospective study.

Objective: To establish the diagnostic performance of fine-needle aspiration in detecting benign and malignant neoplasm in comparison with post-thyroidectomy histopathological findings among patients who received a thyroidectomy.

Methods: Retrospective observational data collected between 2011-2021 were included from patients who received partial or total thyroidectomy. The Bethesda system was used to classify neoplasms from fine-needle aspiration procedures as benign or malignant. Sample characteristics, diagnostic accuracy, sensitivity, specificity, and predictive values were evaluated.

Results: Patients (n=360) who underwent thyroidectomy were analyzed, of whom 142 (39.4%) and 218 (60.6%) had benign and malignant neoplasms, respectively. Using the Bethesda system, 23 (6.4%) were classified as unsatisfactory result (BI), 83 (23.1%) as benign (BII), 50 (13.9%) as atypia of undetermined significance (BIII), 23 (6.4%) as suspected follicular or Hürthle cell neoplasia (BIV), 102 (28.3%) as suspected malignancy (BV) and 79 (21.9%) as malignant (BVI). The fine-needle aspiration diagnostic accuracy for carcinomas was 92%, while the sensitivity and specificity were 94.4% and 86.9%, respectively. The negative and positive predictive values were 87.9% and 93.9%, respectively.

Conclusion: Fine-needle aspiration has high diagnostic accuracy, sensitivity and specificity, and is a reliable test for distinguishing between benign and malignant thyroid pathologies.

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来源期刊
Einstein-Sao Paulo
Einstein-Sao Paulo MEDICINE, GENERAL & INTERNAL-
CiteScore
2.00
自引率
0.00%
发文量
210
审稿时长
38 weeks
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