갑상샘 세침흡인세포검사에서 미결정 범주의 분석
The Analysis of Indeterminate Category in Thyroid Fine Needle Aspiration
민수기, 서진원, 전선영, 민광선, 박혜림,
소속 상세정보
민수기 ( Min Soo-Kee )
한림대학교 의과대학 병리학교실
서진원 ( Seo Jin-Won )
한림대학교 의과대학 병리학교실
전선영 ( Jun Sun-Young )
한림대학교 의과대학 병리학교실
민광선 ( Min Kwang-Sun )
한림대학교 의과대학 병리학교실
박혜림 ( Park Hye-Rim )
한림대학교 의과대학 병리학교실
KMID : 0357920100440060657
Abstract
Background : Descriptive diagnosis reports have been causing some problems in communication. Our institution decided to use the category diagnosis system since June, 2008. So we evaluated the effectiveness of this change.
Methods : The category system is composed of unsatisfactory, suboptimal for diagnosis but suggestive of, most probably benign, indeterminate, suspicious for malignancy and malignancy. We evaluated 1,525 cases from June, 2008 to September, 2009. We analyzed 159 cases of the indeterminate category.
Results : Among the 159 cases, 21 were re-aspirated and 63 underwent an operation. The diagnoses of the re-aspirated cases were 2 positive for malignancy, 5 indeterminate, 13 most probably benign, and 1 unsatisfactory. The surgical diagnoses were 39 malignancies, 2 follicular adenomas and 1 Hurthle cell adenoma, and 21 benign lesions. Re-aspiration for the indeterminate cases could help decide whether the lesions need to be operated or not at above 70%. The indeterminate category could predict the surgical diagnosis of the thyroid nodule with statistical significance when the subcategories were indicated (p < 0.001).
Conclusions : The category diagnosis is replacing the descriptive diagnosis for the thyroid fine needle aspiration. The indeterminate category is useful and effective for making the decision to operate and especially when the indeterminate subcategories are used.
키워드
Indeterminate category; Biopsy; fine needle; Thyroid gland
원문 및 링크아웃 정보
등재저널 정보