• Title/Summary/Keyword: 세침흡인 검사

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Peripheral Neuroblastoma of the Ulnar Nerve : Diagnosis by Fine Needle Aspiration Cytology (척골신경에 발생한 말초성 신경아세포종 -세침흡인 세포검사로 진단된 1례 보고-)

  • Chu, Young-Chae;Kim, Joon-Mee
    • The Korean Journal of Cytopathology
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    • v.4 no.1
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    • pp.45-51
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    • 1993
  • A 30-year-old woman who was diagnosed as peripheral neuroblastoma by fine needle aspiration of a soft mass of the right upper arm is described. She presented a slowly growing, soft mass of the right upper arm for 1 month. The right humerus revealed no abnormal finding on X-ray. Ultrasonogram of the right upper arm revealed a well demarcated, smooth marginated solid mass without invasion of adjacent structures. Fine needle aspiration was done under the impression of soft tissue tumor with undetermined biologic behavior. The aspirates were highly cellular and the tumor cells were dispersed both singly and in clusters of varying size. The clusters occasionally showed a central capillary core and rosette-like structures. The tumor cells were small in size and had a small to medium amount of cytoplasm. Some of them revealed slender cytoplasmic processes. The nuclei showed distinct nuclear membranes, finely clumped chromatin and small conspicuous nucleoli. Cellular pleomorphism or mitotic figure was not definite. These cytologic findings were interpreted as a malignant, non-lymphomatous small round cell tumor, most likely representing peripheral neuroblastoma or Ewing's sarcoma. Final diagnosis was confirmed by simple excision as peripheral neuroblastoma.

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Performance of Artificial Intelligence and Elastography in Thyroid Nodule Diagnosis (갑상선 결절 진단에서 인공지능과 탄성초음파의 성능 분석)

  • Jee-Yeon Park;Sung-Hee Yang
    • Journal of the Korean Society of Radiology
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    • v.18 no.5
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    • pp.419-427
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    • 2024
  • The objective of this study is to analyze and evaluate the diagnostic performance and utility of elastography and artificial intelligence program in distinguishing between benign and malignant thyroid nodule. In a hospital outpatient clinic, we performed thyroid ultrasound from January 2023 to June 2024, and retrospectively analyzed 126 patients who performed elastography, S-detect, and fine needle aspiration cytology(FNAC) because nodules were found. The analysis of differences based on cytology results showed statistically significant differences in age, nodule size, echogenicity, nodule orientation, margins, shape, presence of calcification, posterior shadowing, K-TIRADS ultrasound interpretation, S-detect results and elasticity contrast index. The ROC curve analysis determined a cut off value for the elasticity contrast index at 2.32, with diagnostic concordance rates of 0.66 for expert interpretation, 0.49 for S-detect, and 0.67 for the elasticity contrast index, indicating superior diagnostic performance with elastography. Thus, elastography may ge used as an adjunct tool to minimize unnecessary repeat examinations and the frequency of tissue biopsies in the diagnosis of thyroid nodules.

Fine Needle Aspiration Cytology of the Mediastinal Lesions (종격동 병변의 경흉 세침흡인 세포학적 진단)

  • Park, In-Ae;Ham, Eui-Keun
    • The Korean Journal of Cytopathology
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    • v.1 no.1
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    • pp.43-50
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    • 1990
  • The authors report 16 cases of mediastinal fine-needle aspiration cytology from Jan. 1985 to Mar. 1988 at the Seoul National University Hospital. Among them, diagnostic material were obtained in fifteen cases, establishing the diagnosis of 7 thymomas, 2 germinomas, 2 neurogenic tumosr, 1 lymphoma, and 3 meastatic carcinomas. The 9 cytologic diagnoses could be confirmed by histologic examination in 8 patients and by another cytologic method in one patient, allowing concordance rate of 77%.

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Langerhans Cell Histiocytosis of Thyroid Gland : A Case Report (갑상선에 생긴 랑게르한스 세포 조직구증 1예)

  • Jang, Chul Soon;Yeon, Je Yeob;Park, Soo Kyoung;Lee, Dong Wook
    • Korean Journal of Head & Neck Oncology
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    • v.29 no.1
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    • pp.18-21
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    • 2013
  • 랑게르한스 세포 조직구증은 골수에서 유래하는 랑게르한스 세포 조직구의 이상 증식에 의해 발병하는 희귀한 질병으로 알려져 있다. 비록 모든 장기에서 발생 할 수 있으나 갑상선을 침범하는 경우는 매우 드물다. 18세 남자가 5달전부터 점점 커지는 갑상선 종괴를 주소로 내원하여 세침흡인 세포검사, 총샘검, 경부 전산화단층촬영을 시행하였다. 세침흡인 세포검사에서 악성신생물이 의심되었고, 총생검에서 랑게르한스 세포 조직구증으로 나타났다. 경부 전산화단층촬영에서는 우측 갑상선에서 윤곽이 잘 구분되는 저음영의 종괴와 우측 기관 주위 림프절의 종대가 관찰되었다. 갑상선 전절제술과 우측 중앙 선택적 경부 림프절 청소술이 시행되었다. 랑게르한스 세포 조직구증이 갑상선을 침범하는 경우는 드물지만 갑상선 비대가 있는 환자가 뇌하수체 기능부전의 증상이나 뼈와 폐의 침범과 관련된 증상을 호소한다면 갑상선의 랑게르한스 세포 조직구증 침범을 고려해야 한다. 또한, 다른 장기의 랑게르한스 세포 조직구증을 치료한 과거력이 있는 경우는 갑상선 종괴를 감별 진단하는데 있어 랑게르한스 세포 조직구증을 고려해야 한다.

A Case of Anterior Neck Hematoma Causing Tracheal Compression after Fine Needle Aspiration Cytology of the Thyroid Nodule (갑상선결절 세침흡인 세포검사 후 기관 압박을 초래한 전경부 혈종 1예)

  • Park Min-Ho;Cho Mun-Hyeong;Seo Kyoung-Won;Yoon Jung-Han;JaeGal Young-Jong
    • Korean Journal of Head & Neck Oncology
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    • v.21 no.2
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    • pp.170-173
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    • 2005
  • Fine needle aspiration cytology (FNAC) of thyroid gland lesions has become a routine diagnostic method. And fine needle aspiration cytology is considered a safe, reliable and cost-effective means of selecting thyroid nodules with risk for malignancy. However, fine needle aspiration cytology of the thyroid may cause hemorrhage, infection, or trauma to adjacent structures. Hemorrhage sufficient to cause tracheal compression has not been reported. So we present a case of anterior neck hematoma causing tracheal compression after FNAC of the thyroid nodule.

Two Cases of Unilateral Thyroid Hematoma Inducing Airway Distress after Fine Needle Aspiration Biopsy (세침흡인검사 후 호흡곤란을 동반한 일측성 갑상선 혈종 2례)

  • Byun, Jang-Yul;Kwon, Kye-Won;Koh, Yoon-Woo
    • Korean Journal of Head & Neck Oncology
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    • v.23 no.1
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    • pp.54-57
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    • 2007
  • Fine needle aspiration biopsy(FNAB) has been used for many decades in the diagnosis of benign and malignant tumors of thyroid gland. Complications of thyroid fine-needle aspiration biopsy(FNAB) are extremely rare. Hematoma formation is the most commonly encountered complication. However, massive intrathyroid unilateral hemorrhage and hematoma formation inducing upper airway distress rarely occurs. Here, we report two cases diagnosed as having hematoma that caused upper airway distress after FNAB for thyroid nodule.