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갑상선 결절 진단에서의 초음파유도하 중심부바늘생검의 유용성

Other Titles
 The Utility of US-Guided Core-Needle Biopsy in the Diagnosis of Thyroid Nodules 
Authors
 김지연  ;  홍순원  ;  김은경  ;  김민정  ;  곽진영  ;  문희정  ;  김기황 
Citation
 Journal of the Korean Society of Medical Ultrasound (대한초음파의학회지), Vol.27(4) : 201-211, 2008 
Journal Title
 Journal of the Korean Society of Medical Ultrasound (대한초음파의학회지) 
ISSN
 1015-7085 
Issue Date
2008
Keywords
Head and neck neoplasm ; diagnosis ; Thyroid ; Thyroid, biopsy ; Thyroid ; neoplasm ; Ultrasound (US) ; guidance
Abstract
Ultrasonography (US)-guided fine needle aspiration biopsy (FNAB) is widely considered to be the diagnostic technique of choice in the assessment of nodular disease of the thyroid gland. Although the accuracy of FNAB analysis approaches 95% where there is an adequate sample, non-diagnostic sampling occurs in 10-20% of cases. Additionally, equivocal pathological results are obtained in 10-30% of cases, and there are limitations in detecting subtypes of certain diseases, such as lymphoma. Generally, US-guided core needle biopsy (CNB) allows for the procurement of a large, grossly visible specimen and a more precise pathological diagnosis. Therefore, US-guided CNB is indicated in the following situations: 1) when an inadequate specimen is obtained by FNAB, 2) when FNAB yields indeterminate or inadequate information, 3) when targeting of the lesion is difficult because it is diffuse, and 4) when there is a discrepancy between the imaging findings and the FNAB results. In this article, we describe the situations in which US-guided CNB is useful for diagnosing thyroid lesions.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
Yonsei Authors
Kwak, Jin Young(곽진영) ORCID logo https://orcid.org/0000-0002-6212-1495
Kim, Ki Whang(김기황)
Kim, Min Jung(김민정) ORCID logo https://orcid.org/0000-0003-4949-1237
Kim, Eun-Kyung(김은경) ORCID logo https://orcid.org/0000-0002-3368-5013
Moon, Hee Jung(문희정) ORCID logo https://orcid.org/0000-0002-5643-5885
Hong, Soon Won(홍순원) ORCID logo https://orcid.org/0000-0002-0324-2414
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/107992
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