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US Guided Fine-needle Non-suction Technique: A Useful and Comfortable Method for Thyroid Nodule |
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Myeon Jun Yang, M.D., Jong Hwa Lee, M.D., Shang Hun Shin, M.D., Seong Hoon Choi, M.D., Ae Kyung Jeong, M.D., Byeong Seong Kang, M.D., Woon Jung Kwon, M.D., Yoong Ki Jeong, M.D. |
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Department of Radiology, Ulsan University Hospital, University of Ulsan, College of Medicine |
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PURPOSE : The purpose of this study is to evaluate whether ultrasound (US)-guided fine-needle non-suction technique
is more comfortable and useful than the conventional suction technique for the cytopathologic evaluation
of thyroid nodules.
MATERIALS and METHODS : Cytopathologic findings at consecutive fine-needle non-suction biopsies of 415 thyroid nodules
in 262 patients were retrospectively reviewed. The procedure was performed by non-suction technique
with 25-guage needle under US guidance. For each nodule, the biopsy was repeated up to two passes.
RESULTS : Cytopathologic diagnostic rate was 89.4% (371/415), and inadequate specimen rate was 10.6% (44/415).
Among 371 adequate specimens, the nodules were benign in 282 (68%), malignant in 55 (13.3%), and suspicious
for malignant or follicular neoplasm in 34 (8.2%). Among 44 inadequate specimens, nodules were calcified
in 9, cystic in 2, and solid or mixed echoic in 33.
CONCLUSION : US-guided fine-needle non-suction technique is more comfortable than and as useful as the conventional
suction technique for the cytopathological evaluation of thyroid nodules. |
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Keyword : Thyroid Thyroid, neoplasms Thyroid, US Thyroid, biopsy |
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pdf파일 : 200625_199-204.pdf
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