quistes del tiroides: ¿malignidad controvertida?
كيسات الغدة الدرقية: خباثة مثيرة للجدل؟
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Abstract
The real incidence of malignant cystic lesions of the thyroid is not well known in Cuba. To study this aspect of the thyroid diseases and to evaluate the usefulness of the fine needle aspiration biopsy in their diagnosis are the main objectives of this paper. 104 patients who suffered from nodular lesions of the thyroid as a form of clinical presentation were operated on from 1987 to 1990. All patients underwent fine needle aspiration biopsy in the operating room immediately after the operation. The material obtained as well as the surgical pieces were diagnosed by different pathologists. A total of 45 (43.2 %) cystic lesions was obtained. 12 (27 %) of them were malignant. The fine needle aspiration biopsy showed a sensitivity of 83 % and a specificity of 97 %, with positive and negative predictive values of 90 and 94 %, respectively. The cystic thyroid lesions may be the site of malignant neoplasias. This type of lesions should not be considered as a synonym of benignity
إن معدل الوقوع الحقيقي للآفات الكيسية الخبيثة في الغدة الدرقية ليس معروفاً جيداً في كوبا. إن دراسة هذا الجانب من أمراض الغدة الدرقية وتقييم فائدة خزعة الرشف بالإبرة الدقيقة في تشخيصها هما الهدفان الرئيسيان لهذه الورقة البحثية. خضع 104 مرضى عانوا من آفات عقيدية في الغدة الدرقية كشكل من أشكال التظاهر السريري لعمليات جراحية في الفترة من 1987 إلى 1990. خضع جميع المرضى لخزعة الرشف بالإبرة الدقيقة في غرفة العمليات مباشرة بعد العملية. تم تشخيص المواد التي تم الحصول عليها بالإضافة إلى العينات الجراحية بواسطة اختصاصيي تشريح مرضي مختلفين. تم الحصول على ما مجموعه 45 آفة كيسية (43.2%)، وكانت 12 منها (27%) خبيثة. أظهرت خزعة الرشف بالإبرة الدقيقة حساسية بلغت 83% ونوعية بلغت 97%، بقيم تنبؤية إيجابية وسلبية بلغت 90% و94% على التوالي. قد تكون الآفات الكيسية في الغدة الدرقية موقعاً لأورام خبيثة، ولا ينبغي اعتبار هذا النوع من الآفات مرادفاً للحميد.
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santana1999revistaquistes
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| Journal | chemistry and biodiversity |
| Year | 1999 |
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