Endocrine Surgeon-Performed US Guided Thyroid FNAC is Accurate and Efficient
Endocrine Surgeon-Performed US Guided Thyroid FNAC is Accurate and Efficient
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DOI：
10.1007/s00268-012-1592-2
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发表时间：
2012-08-01
影响因子：
2.6
通讯作者：
Miller, Julie A.
中科院分区：
文献类型：
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作者：
Al-azawi, Dhafir;Mann, G. Bruce;Miller, Julie A.
超声引导细针穿刺细胞学检查（US-FNAC）是用于评估甲状腺结节的关键诊断技术。这一过程一直是放射科医生的领域，但它越来越多地由内分泌外科医生执行。在本研究中，我们的目的是评估的准确性和临床效率的US-FNAC进行内分泌surgics.This研究是一个回顾性的审查连续患者在3年内谁接受了US-FNAC进行内分泌外科医生和放射科医生。收集并分析402例患者的病历、细胞学检查结果和手术病理结果，共进行了576次超声细针穿刺活检。内分泌外科医生和放射科医生分别进行了299和277次US-FNAC。内分泌外科医生的FNAC不充分率为5.3%，放射科医生为9.3%（p = 0.05）。对于甲状腺癌，内分泌外科医生的US-FNAC的敏感性、特异性和假阴性分别为87%、98%和3%，而放射科医生的US-FNAC的敏感性、特异性和假阴性分别为88%、95%和3.5%。与放射科医生组（平均：53.3天; p = 0.01）相比，内分泌外科医生组（平均15.3天）甲状腺癌患者的手术时间更短。由经验丰富的内分泌外科医生进行的US-FNAC是准确的，可以有效地对甲状腺癌患者进行手术治疗。
Ultrasound guided fine needle aspiration cytology (US-FNAC) is a key diagnostic technique used to assess thyroid nodules. This procedure has been the domain of radiologists, but it is increasingly performed by endocrine surgeons. In the present study we aimed to assess the accuracy and clinical efficiency of US-FNAC performed by endocrine surgeons.This study was a retrospective review of consecutive patients in a 3-year period who underwent US-FNAC performed by endocrine surgeons and radiologists. Medical records, cytology results, and surgical pathology results were collected and analyzed.A total of 576 US-FNAC were performed on 402 patients during the study period. The endocrine surgeons and radiologists performed 299 and 277 US-FNAC, respectively. The FNAC inadequacy rate was 5.3 % for the endocrine surgeons and 9.3 % for the radiologists (p = 0.05). For thyroid cancer, the sensitivity, specificity, and false negatives of the US-FNAC for the endocrine surgeons was 87 %, 98 %, and 3 %, respectively while that for the radiologists was 88 %, 95 %, and 3.5 %, respectively. Patients with thyroid cancer had a shorter time to surgery in the endocrine surgeons' group (mean 15.3 days) compared to the radiologists' group (mean: 53.3 days; p = 0.01).US-FNAC performed by an experienced endocrine surgeon is accurate and allows efficient surgical management for patients with thyroid cancer.