http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
첫 세포검사에서 양성이며 추가 세포검사에서 악성의 증거는 없었으나 경과 관찰 중 현저한 크기 증가로 인하여 수술하게 된 갑상선결절의 수술 후 결과
김의영 ( Eui Young Kim ),김원구 ( Won Gu Kim ),김태용 ( Tae Yong Kim ),공경엽 ( Gyungyup Gong ),류진숙 ( Jin-sook Ryu ),윤종호 ( Jong Ho Yoon ),홍석준 ( Suck Joon Hong ),김원배 ( Won Bae Kim ),송영기 ( Young Kee Shong ) 대한갑상선학회 2009 International Journal of Thyroidology Vol.2 No.2
Background and Objectives: Fine needle aspiration (FNA) cytology is the best test to diagnose malignancy in thyroid nodules. However, cytologic interpretation of FNA specimens is difficult in case that follicular neoplasm is suggested. The aim of this study was to evaluate the rate of malignancy in thyroid nodules which were cytologically diagnosed as benign at the first FNA cytology but the size of nodules increased during the observation period. Materials and Methods: Patients who underwent thyroid surgery in Asan Medical Center from 1996 to 2001 were enrolled. Patients who diagnosed as benign at the first FNA cytology and relatively rapid increase in the nodule size during the observation period were included in this retrospective study. Results: Total 283 patients were included in this study. Their mean age was 42 years and mean tumor size was 4.89 cm (range 2.0∼12.0 cm). In pathologic results, 223 (80.9%) patients had benign thyroid nodules with 191 nodular hyperplasia, 37 follicular adenomas and 1 hashimoto’s thyroiditis, respectively. Fifty four patients (19.1%) had malignancy with 35 follicular carcinomas, 17 papillary thyroid carcinomas and 2 poorly differentiated carcinomas, respectively. Conclusion: Surgical treatment could be recommended for patients with significant increase in size of thyroid nodule, even though the results of their initial FNA were benign.
갑상선여포암과 휘틀세포암에서 수술 전 세침흡인 세포검사 결과
김원구 ( Won Gu Kim ),임지혜 ( Ji Hye Yim ),김의영 ( Eui Young Kim ),김태용 ( Tae Yong Kim ),공경엽 ( Gyungyup Gong ),윤종호 ( Jong Ho Yoon ),홍석준 ( Suck Joon Hong ),김원배 ( Won Bae Kim ),송영기 ( Young Kee Shong ) 대한갑상선학회 2010 International Journal of Thyroidology Vol.3 No.2
Background and Objectives: Follicular thyroid carcinoma (FTC) and hurthle cell carcinoma (HCC) are relatively uncommon in iodine sufficient area, and there were few reports about these tumors. This study aimed to evaluate the preoperative diagnosis of FTC and HCC in Korea. Materials and Methods: This retrospective study enrolled 208 patients with FTC and 46 patients with HCC who underwent initial thyroid surgery between 1995 and 2006 in Asan Medical Center, Seoul, Korea. Results: There was no significant difference between FTC and HCC in basal clinicopathological parameters, except age and lymphovascular invasion (LVI). Patients with HCC were older (p=0.008), and had more LVI (p=0.008). Preoperative fine needle aspiration cytology (FNAC) diagnoses of FTC patients were follicular neoplasm (FN) in 84 cases (40%), hurthle cell neoplasm (HN) in 4 cases (2%), other malignancy in 26 cases (13%), and benign or indeterminate results in 89 cases (43%). FNAC diagnosis of HCC patients were 21 cases (46%) of HN, 8 cases (17%) of FN, 6 cases (13%) of other malignancy, and 11 (24%) cases of benign or indeterminate results. Conclusion: The results of FNAC were somewhat helpful for decision of thyroidectomy for the patients suspected FTC and HCC. However, clinical suspicion is also important for diagnosis of FTC and HCC even if the FANC results of nodules were benign or indeterminate.