Journals / Medical Network Klinik Bilimler ve Doktor / 1998 / Cilt: 4 - Sayı: 5
Fine needle aspiration biopsy in the diagnosis and management of nodular diseases of the thyroid
- Pages
- 714–720
- DOI
- —
Abstract
In this report, the clinical value of fine needle aspiration of thyroid nodules was evaluated by comparing preoperative cytology and postoperative histopathology in 125 patients undergoing thyroidectomy between 1992-1996 years. Preoperative cytology was reported as benign goiter (88 patients), follicular neoplasm (13 patients), hurthle cell neoplasm (4 patients), suspicious papillary carcinoma (2 patients), papillary carcinoma (11 patients), medullary carcinoma (2 patients), undetermined carcinoma (1 patient) and insufficient cellular material (4 patients). 19 patients (% 15.2) were found in suspicious malignant group (follicular neoplasm, Hurthle cell neoplasm), 1 patient -was papillary carcinoma and 1 patient was squamous cell carcinoma, malignancy ratio was % 10.5 for this group. Because of the malignant potential, total or near total thyroidectomy was performed for the patients that has suspicious malignant or malignant cytology and sufficient surgical treatment was obtained at first step. Complication has not seen in any patients with aspiration biopsy.
Özet
Bu çalışmada 1992 - 1996 yılları arasında tiroidektomi yapılan 125 hastada tiroid nodüllerinde ince iğne aspirasyon biyopsisinin tanısal değeri, preoperatif sitoloji ve postoperatif histopatoloji sonuçları karşılaştırılarak değerlendirilmiştir. Preoperatif sitoloji sonuçları benign guatr (88 hasta), folliküler neoplazm (13), Hurtle hücreli neoplazm (4 hasta), şüpheli popüler karsinom (2 hasta), papiller karsinom (11 hasta), medüller karsinom (2 hasta), tammlanamayan karsinom (l hasta) ve yetersiz materyal olarak bildirilmiştir. Şüpheli malign grupda (folliküler neoplazm, Hurtle hücreli neoplazm, şüpheli papiller karsinom) 19 hasta (% 15,2) saptanmış, bunlardan l hasta papiller karsinom, l hasta da yassı hücreli karsinom tanısı almıştır, malignité oranı % 10,5'dir. Malignité potansiyelleri göz önünde bulundurulan şüpheli malign ve malign sitoloji sonuçlarına sahip hastalara total veya totale yakın tiroidektomi uygulanarak, ilk basamakta yeterli cerrahi sağlanmıştır. Aspirasyon biyopsisi yapılan hiçbir hastada komplikasyon görülmemiştir.