갑상샘 유두암종의 세포진단에서 형태학적 계측의 분석

Morphometric Analysis for Cytological Diagnosis of Thyroid Papillary Carcinoma

  • 김종옥 (가톨릭 의과대학 대전성모병원 병리과) ;
  • 양보성 (가톨릭 의과대학 대전성모병원 영상의학과) ;
  • 김혜수 (가톨릭 의과대학 대전성모병원 내과) ;
  • 이종민 (가톨릭 의과대학 대전성모병원 내과) ;
  • 이동호 (가톨릭 의과대학 대전성모병원 일반외과) ;
  • 신소영 (가톨릭 의과대학 대전성모병원 진단검사의학과) ;
  • 강창석 (가톨릭 의과대학 여의도성모병원 병리과) ;
  • 이혜경 (가톨릭 의과대학 대전성모병원 병리과)
  • Kim, Jong-Ok (Department of Pathology, Catholic University Medical College, St. Mary's hospital, Daejeon) ;
  • Yang, Bo-Seong (Department of Radiology, Catholic University Medical College, St. Mary's hospital, Daejeon) ;
  • Kim, Hye-Soo (Department of Internal Medicine, Catholic University Medical College, St. Mary's hospital, Daejeon) ;
  • Lee, Jong-Min (Department of Internal Medicine, Catholic University Medical College, St. Mary's hospital, Daejeon) ;
  • Lee, Dong-Ho (Department of General Surgery, Catholic University Medical College, St. Mary's hospital, Daejeon) ;
  • Shin, So-Young (Department of Clinical Pathology, Catholic University Medical College, St. Mary's hospital, Daejeon) ;
  • Kang, Chang-Suk (Department of Pathology, Catholic University Medical College, St. Mary's hospital) ;
  • Lee, Hye-Kyung (Department of Pathology, Catholic University Medical College, St. Mary's hospital, Daejeon)
  • 발행 : 2006.09.30

초록

The diagnosis of papillary thyroid cancer is generally based on the findings of intranuclear cytoplasmic inclusions and nuclear grooves. Although anisokaryosis and poikilokaryosis, in papillary thyroid cancer, are not distinct when compared to other cancers, cytological examination can provide useful preoperative information. Our study evaluated the diagnostic role of computer-assisted image analysis for the pre-surgical assessment of papillary thyroid carcinoma. Thyroid aspirates from twenty female patients who were histologically confirmed to have both papillary carcinoma and benign nodules were studied. Different populations of 50 benign cells and 50 malignant cells were analyzed. Five morphometric parameters were selected for analysis: nuclear area, perimeter, maximum length, maximum width and intensity standard variation. The values obtained for papillary carcinomas were higher than the surrounding benign nodules as follows: nuclear area 63.5 vs. 36.1 (p=0.000), nuclear perimeter were 29.4 vs. 22.0 (p=0.000), maximum length 9.6 vs. 7.1 (p=0.000), maximum width 8.2 vs. 6.3 (p=0.000), the ratio between maximal length and maximal width 1.16 vs. 1.13 (p=0.000), the standard variation of intensity 14.9 vs. 15.9 (p=0.101) respectively. Therefore, morphometric information can be helpful for the differential cytological diagnosis of papillary thyroid carcinoma.

키워드

참고문헌

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