초음파 유도 하에 갑상선 결절 환자에 있어서 세침 생검과 수술 후 조직학적 결과 비교를 통한 초음파 유도 생검의 유용성

Metadata Downloads
Issued Date
Purpose: Fine needle aspiration biopsy (FNAB) is currently the most reliable test for the diagnosis of thyroid nodular disease. The purpose of this study was to compare of US-guided FNAB result with histopathologic finding after thyroidectomy for thyroid nodules and to access the usefulness of follow-up US-guided FNAB.
Materials and Methods: US-guided FNAB was performed in 689 patients from March 2002 to June 2004. Thyroidectomies were performed in 99 of these patients. We compared the results for US-guided FNAB with post-operative histopathologic finding in these patients. All aspirations were performed with 21-guage needles attached to a 10-ml syringe with a syringe plunger. A high-frequency linear-array transducer was used for biopsies performed under ultrasound guidance.
Results: A comparison of US-guided FNAB results with histopathologic findings after thyroidectomies was interpreted as 4(4%) false-positive and 6(6%) false-negative results. In the patients with FNAB results as indeterminate for malignancy, one patient had follicular carcinoma and another patient had papillary carcinoma on histopathologic analysis after thyroidectomies. One of 3 patients with nondiagnostic US-guided FNAB results were proved to micropapillary carcinoma on histopathologic findings after thyroidectomies.
Conclusion: The main cause of false negative US-guided FNAB result was inadequate sampling by infracentimetric size. Follow- up US-guided FNAB will be necessary to decrease false negative US-guided FNAB results and improve the detection rate of malignant nodule.
Alternative Title
Comparison of Ultrasonography (US)-guided Fine needle aspiration biopsy (FNAB) with histopathologic finding after thyroidectomy of thyroid nodules and the usefulness of follow up US-guided FNAB
Alternative Author(s)
Koh, Kyung Hun
조선대학교 대학원
일반대학원 의학과
Awarded Date
Table Of Contents
Abstract = 1
I. 서론 = 4
II. 대상 및 방법 = 5
III. 결과 = 7
IV. 고찰 = 9
V. 결론 = 11
VI. 참고문헌 = 12
조선대학교 대학원
고경훈. (2006). 초음파 유도 하에 갑상선 결절 환자에 있어서 세침 생검과 수술 후 조직학적 결과 비교를 통한 초음파 유도 생검의 유용성.
Appears in Collections:
General Graduate School > 3. Theses(Master)
Authorize & License
  • AuthorizeOpen
  • Embargo2008-09-10
Files in This Item:

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.