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超声引导细针抽吸细胞块免疫组织化学检查对甲状腺癌的诊断价值

戴维德 陈秀华 马娜 王川予 吴明晓 陈岚 何淑蓉 韩秀婕 郭发金

中国临床保健杂志2017,Vol.20Issue(3):225-227,3.
中国临床保健杂志2017,Vol.20Issue(3):225-227,3.DOI:10.3969/J.issn.1672-6790.2017.03.001

超声引导细针抽吸细胞块免疫组织化学检查对甲状腺癌的诊断价值

The evaluation of ultrasound-guided fine needle aspiration cytology combined with cell block immunohistochemistry in the diagnosis of thyroid carcinoma

戴维德 1陈秀华 1马娜 1王川予 1吴明晓 1陈岚 2何淑蓉 2韩秀婕 1郭发金1

作者信息

  • 1. 北京医院超声科,北京 100730
  • 2. 北京医院病理科,北京 100730
  • 折叠

摘要

Abstract

Objective To evaluate the clinical value of ultrasound-guided fine needle aspiration cytology combined with cell block immunohistochemistry in diagnosing thyroid carcinoma.Methods Thyroid nodules of 54 patients were punctured and aspirated by using fine needle under ultrasound-guided.The obtained samples were tested for cytology and cell block was detected by immunohistochemistry.The conclusions and the follow-up results were retrospectively analyzed and compared.Results The puncture success rate of this group was 96.3%(52/54).Among 52 patients,the results of the cytology combined with cell block immunohistochemistry of 47 cases were consistent with follow-up results.The coincidence rate of clinical diagnosis was 90.4%(47/52).The diagnose results of cytology combined with cell block immunohistochemistry:36 cases of thyroid carcinoma,11 cases of benign lesion.The pathology diagnoses results after operation or follow-up:39 cases of thyroid carcinoma,13 cases of benign lesion.The sensitivity and specificity of diagnose was 92.3%(36/39) and 100%(11/11),respectively.Conclusion Ultrasound-guided fine needle aspiration cytology combined with cell block immunohistochemical diagnosis of thyroid carcinoma is simple,practical,safe and reliable.

关键词

甲状腺肿瘤/活组织检查,细针/免疫组织化学/超声检查

Key words

Thyroid neoplasms/Biopsy/fine-needle/Immunohistochemistry/Ultrasonography

分类

医药卫生

引用本文复制引用

戴维德,陈秀华,马娜,王川予,吴明晓,陈岚,何淑蓉,韩秀婕,郭发金..超声引导细针抽吸细胞块免疫组织化学检查对甲状腺癌的诊断价值[J].中国临床保健杂志,2017,20(3):225-227,3.

基金项目

国家科技支撑计划课题(2014BAI08B03) (2014BAI08B03)

中国临床保健杂志

OACSTPCD

1672-6790

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