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目的:对甲状腺癌术前诊断中实用价值的评价。方法:细针吸取组织细胞涂片,用HE和免疫细胞化学染色诊断甲状腺癌,将术前FNAC结果与术后组织切片诊断进行对比分析。结果:术前FNAC诊断甲状腺癌386例。术后有组织切片诊断对照226例,两者完全符合和基本符合率为86.3%,不符合率为13.7%。FNAC诊断甲状腺癌敏感性为92.1%,阳性预测值为98%,假阳性率为2.8%。结论:术前FNAC诊断甲状腺癌敏感性高,应予推广。
Objective: To evaluate the practical value of preoperative diagnosis of thyroid cancer. Methods: Fine needle aspiration of tissue cells was used to diagnose thyroid carcinoma with HE and immunocytochemistry. The preoperative FNAC results were compared with postoperative histological sections. Results: 386 cases of thyroid cancer were diagnosed by FNAC before operation. There were 226 cases diagnosed and controlled by histological examination after operation. The two cases were completely consistent with the basic coincidence rate of 86.3% and the non-coincidence rate of 13.7%. The sensitivity of FNAC in the diagnosis of thyroid cancer was 92.1%, the positive predictive value was 98% and the false positive rate was 2.8%. Conclusion: Preoperative diagnosis of thyroid cancer FNAC high sensitivity should be promoted.