Preoperatif Diagnostic Value of the Fine Needle Nodules Aspiration Biopsy in theThyroid

66 Patients who were admitted to Şişli Etfal Hospital 3. General Surgery Department with a diagnosis of noduler goitre between February 1992 and July 1994, underwent fine needle aspiration biopsy (FNAB) preoperatively. 16 patients were followed without being operated, in the 50 patients who had an operation cytological findings from FNAB were compared to the histopathological findings from postoperative thyroidectomy material.
it was found FNAB had false positive results in % 4 of the patients while false negativity was %0. Therefore spesificity of FNAB was found to be % 100 whereas sensitivity was % 50 that malignant nodules, which can be recognized earlier treated more efficiently.

Tiroid Nodüllerinde İnce İğne Aspirasyon Biopsisinin Preoperatif Taný Değerleri

Şişli Etfal Hastanesi 3. Genel Cerrahi kliniğinde Şubat 1992 - Temmuz 1994 tarihleri arasýnda 66 noduler guatrlý hasta preoperatif dönemde ince iğne aspirasyon biopsisi (11AB) yapýlarak değerlendirildi. 16 hasta ameliyat edilmeyip, izlendi. Opere edilen 50 hasta preoperatif uygulanan tiroidoktemi materyalinin histopatolojik sonuçlarýyla karşýlaştýrýldý.
Bu çalýşma IIAB'de yanlýş negatiflik % 4, yanlýş pozitiflik % 0 olarak bulundu. Duyarlýlýk % 50, spesifiklik % 100, kesinlik o/o69 olarak bulundu.
Sonuç olarak: Tiroid nodülllerinin preoperatif değerlendirilmesinde, IIAB yönteminin kullanýlma­sýyla, gereksiz cerrahi girişimlerin azalacağý, buna karşýn malign nodüllerin daha erken tanýnýp, etkili olarak tedavi edileceği kanýsýna varýldý.