대한골관절종양학회지 (The Journal of the Korean bone and joint tumor society)
- 제2권1호
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- Pages.33-37
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- 1996
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- 1226-4962(pISSN)
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- 2233-9841(eISSN)
골 및 연부 조직 종양에서의 미세 침 흡입 세포 검사
Fine Needle Aspiration Cytology in Bone and Soft Tissue Tumor
- 이수용 (원자력병원 정형외과) ;
- 전대근 (원자력병원 정형외과) ;
- 이종석 (원자력병원 정형외과) ;
- 김석준 (원자력병원 정형외과) ;
- 조경자 (원자력병원 해부병리과) ;
- 오형호 (동국대부속 포항병원) ;
- 박민효 (동국대부속 포항병원) ;
- 박현수 (원자력병원 정형외과) ;
- 장진대 (원자력병원 정형외과)
- Lee, Soo-Yong (Department of Orthopedic Surgery, Korea Cancer Center Hospital) ;
- Jeon, Dae-Geun (Department of Orthopedic Surgery, Korea Cancer Center Hospital) ;
- Lee, Jong-Seok (Department of Orthopedic Surgery, Korea Cancer Center Hospital) ;
- Kim, Sug-Jun (Department of Orthopedic Surgery, Korea Cancer Center Hospital) ;
- Cho, Kyung-Ja (Department of Anatomic Pathology, Korea Cancer Center Hospital) ;
- Oh, Hyung-Ho (Department of Orthopedic Surgery, Dongguk University Hospital) ;
- Park, Min-Hyo (Department of Orthopedic Surgery, Dongguk University Hospital) ;
- Park, Hyun-Soo (Department of Orthopedic Surgery, Korea Cancer Center Hospital) ;
- Jang, Jin-Dae (Department of Orthopedic Surgery, Korea Cancer Center Hospital)
- 발행 : 1996.04.30
초록
From January 1994 to August 1995 we performed 270 cases of fine needle aspiration cytology for bone and soft tissue lesions. Among them 137 cases were diagnosed histologically. Sixty-seven cases were benign and 70 cases were malignant. We analysed these on the aspect of sensitivity, specifity, positive predictive value, negative predictive value of the cytologic examination. Malignant cases consisted of bone tumor 29 cases; soft tissue tumor 25 cases; and metastatic tumor 16 cases. The sensitivity and specifity of the aspiration cytology for malignant tumor were 67.8% and 97%, respectively. The positive and negative predictive value of aspiration cytology were 97.4% and 72.7%, respectively. Among them 40 cases were primary bony lesions; 14 benign lesions, 26 malignamt bone tumors. Sensitivity of aspiration cytology for these primary bony lesion was 90%(18/20) and its specifity was 100%(13/13). Three cases showed atypical cells in cytology but with biopsy we could find them as one benign and two malignancies. Two cases of manignancy showed negative result in cytology; one was parosteal sarcoma of proximal femur and the other was osteosarcoma of proximal tibia which was biopsied already at other hospital. Although the overall sensitivity and specifity for malignant bone and soft tissue tumors were relatively low and not so predictable, the fine needle aspiration cytology for primary bony lesion was useful in the differential diagnosis of benign or malignancy.