甲状腺单发结节中甲状腺癌的鉴别诊断

目的 本文的研究目的是寻找从甲状腺单发结节中鉴别甲状腺癌的最佳方法。方法 资料包括有１９９０年１月至１９９８年１月对３２６例甲状腺单发结节进行的诊断治疗结果。分别评介了临床检验、同位素扫描、Ｂ超、细针穿刺活检和冰冻切除在鉴别诊断中的实用价值。结果 ３２６例中的甲状腺癌７９例,占２４．２％;ＦＮＡＢ及ＦＳ准确率９１．１％和９７．４％,敏感性及特异性分别为９０％和９７．９％;９７．４５和１００％,是最

MISDAGNOSIS THYROID CANCER AND SOLITARY THYROID NODULES

Objective To seek an optimal way to discriminate thyroid cancer from solitary thyroid nodules.Methods:The material includes the results of diagnosises and treatmetnts of 326 cases with solitary thyroid nodules from Janurary of 1990 to Janurary of 1998.The practical values of physical examination,thyroid scanning,ultra sonography,fine needle aspriation biopsy and frozen section were evaluated in differential diagnosis.Result:In 326 solitary thyroid nodules 79 were thyroid cancer(24.2%).FNAB and FS accuracy rate were 90% and 97.4% respectively.The sensitivity and specificity were 90 %and 97.9%,97.4% and 100%.It was optimical discriminants method.Conclusion:For patients with solitary thyroid nodules in clinical examination.B-ultrasonogrraphy and thyroid scintiscanning are first step.If it was solid"cold and coll"solitary nodules,FNAB should be used,for some suspected case,,FS should be practived in opration.