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Core needle biopsy could reduce diagnostic surgery in patients with anaplastic thyroid cancer or thyroid lymphoma

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dc.contributor.authorHa, EJ-
dc.contributor.authorBaek, JH-
dc.contributor.authorLee, JH-
dc.contributor.authorKim, JK-
dc.contributor.authorSong, DE-
dc.contributor.authorKim, WB-
dc.contributor.authorHong, SJ-
dc.date.accessioned2018-05-04T00:24:20Z-
dc.date.available2018-05-04T00:24:20Z-
dc.date.issued2016-
dc.identifier.issn0938-7994-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/14841-
dc.description.abstractOBJECTIVE: To evaluate the diagnostic performance of fine needle aspiration (FNA) and core needle biopsy (CNB) in patients with anaplastic thyroid cancer (ATC) or thyroid lymphoma (TL). METHODS: Between January 2000 and March 2012, 104 patients were diagnosed with ATC or TL by means of ultrasound (US)-guided FNA, CNB, or surgery. This study ultimately included 99 patients with ATC (n = 59) or TL (n = 40). We evaluated the sensitivity and positive predictive value of FNA and CNB for the diagnosis of ATC and TL, and compared the rates of diagnostic surgery between FNA and CNB. RESULTS: FNA was used in 83 patients, and CNB was used in 32 patients initially (n = 16), after FNA results (n = 8), or simultaneously with FNA (n = 8). CNB achieved sensitivity of 87.5 % (28/32) and positive predictive value of 100.0 % (28/28) for the diagnosis of ATC and TL. The respective values for FNA were 50.6 % (40/79) and 90.9 % (40/44). The rate of diagnostic surgery was significantly lower after CNB (4/32, 12.5 %) than after FNA (28/79, 35.4 %) (p = 0.020). CONCLUSIONS: CNB was able to reduce unnecessary diagnostic surgery in patients with ATC or TL by virtue of its superior diagnostic sensitivity and positive predictive value compared to FNA. KEY POINTS: * Diagnostic sensitivity and PPV for CNB were 87.5 % and 100.0 %, respectively. * The respective values for FNA were 50.6 % and 91.0 % for ATC and TL. * Diagnostic surgery rates were reduced after CNB compared to FNA (p = 0.020).-
dc.language.isoen-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHBiopsy, Large-Core Needle-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHThyroid Carcinoma, Anaplastic-
dc.subject.MESHThyroid Gland-
dc.subject.MESHThyroid Neoplasms-
dc.subject.MESHThyroid Nodule-
dc.subject.MESHUltrasonography-
dc.subject.MESHUnnecessary Procedures-
dc.subject.MESHYoung Adult-
dc.titleCore needle biopsy could reduce diagnostic surgery in patients with anaplastic thyroid cancer or thyroid lymphoma-
dc.typeArticle-
dc.identifier.pmid26201291-
dc.contributor.affiliatedAuthor하, 은주-
dc.type.localJournal Papers-
dc.identifier.doi10.1007/s00330-015-3921-y-
dc.citation.titleEuropean radiology-
dc.citation.volume26-
dc.citation.number4-
dc.citation.date2016-
dc.citation.startPage1031-
dc.citation.endPage1036-
dc.identifier.bibliographicCitationEuropean radiology, 26(4). : 1031-1036, 2016-
dc.embargo.liftdate9999-12-31-
dc.embargo.terms9999-12-31-
dc.identifier.eissn1432-1084-
dc.relation.journalidJ009387994-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Radiology
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