대한영상의학회지 (Journal of the Korean Society of Radiology)

  • 제64권3호
  • /
  • Pages.221-225
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  • 2011
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  • 1738-2637(pISSN)
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  • 2288-2928(eISSN)
대한영상의학회 (The Korean Society of Radiology)
권호 표지

경부 림프절 병변에 대한 초음파유도 하 세침흡인세포검사: 21 및 23 게이지 바늘의 사용에 따른 세포학적 적합성에 대한 비교연구

Ultrasonography-Guided Fine Needle Aspiration Cytology of Cervical Lymphadenopathy: Comparative Study of the Cytological Adequacy Using of 21- and 23- Gauge Needles

  • 백진욱 (인제의대 부산백병원 영상의학과학교실) ;
  • 김동욱 (인제의대 부산백병원 영상의학과학교실) ;
  • 김보미 (인제의대 부산백병원 병리의학과학교실)
  • Baek, Jin-Wook (Department of Radiology, Busan Paik Hospital, Inje University School of Medicine) ;
  • Kim, Dong-Wook (Department of Radiology, Busan Paik Hospital, Inje University School of Medicine) ;
  • Kim, Bo-Mi (Department of Pathology, Busan Paik Hospital, Inje University School of Medicine)
  • 발행 : 2011.03.01
⟨ 이전 논문 다음 논문 ⟩

초록

목적: 경부 림프절 병변의 초음파유도 하 세침흡인세포검사에서 21 및 23 게이지 바늘의 사용에 따른 세포학적 적합성의 차이를 알아보고자 하였다. 대상과 방법: 각 환자에서 서로 다른 두 개의 경부 림프절 병변에 대해, 하나는 21 게이지 바늘을(A 그룹), 다른 하나는 23 게이지 바늘을(B 그룹) 사용하여 초음파유도 하 세침흡인세포검사를 시행하였다. 각각의 표본에 대한 세포병리 분석을 4등급으로 나누어 두 그룹의 세포학적 적합성의 차이를 비교하였다. 결과: 29명의 환자를 대상으로 58예의 초음파유도 하 세침흡인세포검사를 시행하였으며, 세침흡인세포검사의 세포학적 적합성은 69.0%였다. 적합한 세포병리결과가 나온 경우는, A 그룹에서 19예(65.5%), B 그룹에서는 21예(72.4%) 였으며, 초음파유도 하 세침흡인세포검사의 세포학적 적합성에 있어서는 두 그룹 간에 유의한 차이는 없었다(Mann-Whitney test, p = 0.574). 결론: 경부 림프절 병변의 초음파유도 하 세침흡인세포검사에서 21 게이지와 23 게이지 바늘의 사용에 따른 세포학적 적합성에 대한 유의한 차이는 없었다.

Purpose: To assess the difference in the cytological adequacy of ultrasonography (US)-guided fine needle aspiration cytology (US-FNAC) for cervical lymphadenopathy using 21 and 23 gauge needles. Materials and Methods: US-FNACs were separately performed on two cervical lymph nodes and in each patient using 21 gauge (group A) and 23 gauge (group B) needles, respectively. We used 4 grade classifications for the cytological analysis of each slide and compared the cytological adequacy of US-FNAC for cervical lymphadenopathy in the two groups. Results: We performed US-FNACs on 58 cervical lymph nodes from 29 patients, with a cytological adequacy of 69.0%. The number of adequate cytological results was 19 (65.5%) in group A and 21 (72.4%) in group B, and the diagnostic adequacy did not differ significantly between the two groups (Mann-Whitney test, p = 0.574). Conclusion: There was no statistically significant difference in the cytological adequacy of US-FNAC for cervical lymphadenopathy according using of 21 and 23 gauge needles.

키워드

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