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FNAC在甲状腺癌术前诊断中的应用价值

Evluation of Preoperation FNAC in Diagnosis of Thyroid Gland Cancer
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摘要 目的:对甲状腺癌术前FNAC诊断进行评价。方法:采用细针吸取涂片、HE,Wright染色诊断甲状腺癌,将术前FNAC结合与术后组织切片诊断进行对比分析。结果:甲状腺FNAC检查5776例,其中判断为甲状腺癌193例。有术后组织切片诊断对照113例,两者完全符合和基本符合占87.6%,不符合占12.4%。FNAC诊断甲状腺癌的敏感性为91.7%,阳性预测值为98%,假阳性为2.7%。结论:术前FNAC诊断甲状腺癌敏感性高,可直接为临床外科术前治疗提供细胞病理学依据,应予推广。 Objective: To evaluate the accuracy of Preoperative fine needle aspiration Cytology (FNAC)in the diagnosis of thyroid Carcinoma.Methods:The 113 Cases of thyroid Carcinoma that was diagnosed by FNAC and confirmed by surgical histology were retrospectively analysed. Results:The total correspondence rate was 87.6%, the sensitivity of FNAC in diagnosing thyroid carcinoma was 91.7%.The positive prospective rate of FNAC of the thyroid tumor was 98% .Only 2.7% of these cases had afalse-positive cytology. Conclusions:The sensitivity of FNAC in diagnosing thyroid carcinoma was found to be high (91.7%).It is becoming a widely accepted and utilized method in the preoperative assessment of palpable thyroid lesions.
作者 胡大学
出处 《实用医院临床杂志》 1998年第1期34-36,共3页 Practical Journal of Clinical Medicine
关键词 甲状腺癌 FNAC Thyroid carcinoma FNAC
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