首页|细针抽吸细胞学联合检测BRAFV600E在甲状腺结节诊断中的应用价值

细针抽吸细胞学联合检测BRAFV600E在甲状腺结节诊断中的应用价值

The combined value of fine needle aspiration cytology and BRAFV600E Egene mutation detection in the diagnosis of thyroid nodules

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目的 探讨细针抽吸细胞学(FNAC)联合丝氨酸/苏氨酸蛋白激酶(BRAFV600E)基因突变检测在甲状腺结节术前诊断中的临床意义.方法 回顾性分析温州市中心医院2022年1月至2023年1月经手术后常规组织病理确诊的126例甲状腺结节术前FNAC及检测BRAFV600E基因突变结果,并与单用FNAC检查所获得的结果进行比较分析.结果 FNAC联合检测BRAFV60E基因突变与单用FNAC对甲状腺结节检测特异度比较差异无统计学意义(P>0.05);FNAC联合检测BRAFV600E基因突变对甲状腺结节检测敏感度[97.6%(82/84)]高于单用FNAC[85.5%(65/76)],差异有统计学意义(x2=7.82,P<0.05);FNAC联合检测BRAFV600E基因突变对甲状腺结节检测总准确率[96.8%(122/126)]高于单用FNAC[85.0%(96/113)],差异有统计学意义(x2=10.47,P<0.05).结论 FNAC联合检测BRAFV600E基因突变在术前甲状腺结节诊断价值良好,可提高诊断敏感性和准确性,值得临床进一步推广.
Objective To investigate the clinical significance of the combined use of fine needle aspiration cytology(FNAC)and BRAFV600E gene mutation detection in the preoperative diagnosis of thyroid nodules.Methods A retrospective analysis was conducted on 126 cases of thyroid nodules confirmed by routine histopathology after surgery at Wenzhou Central Hospital between January 2022 and January 2023.The results of preoperative FNAC combined with BRAFV600E gene mutation detection were compared with those obtained from FNAC alone.Results There was no significant difference in specificity for thyroid nodules between FNAC combined with BRAFV600E gene mutation detection and FNAC alone(P>0.05).The sensitivity of FNAC combined with BRAFV600E gene mutation detection was significantly higher than that of FNAC alone[97.6%(82/84)vs.85.5%(65/76),x2=7.82,P<0.05].The overall accuracy of FNAC combined with BRAFV600E gene mutation detection was significantly higher than that of FNAC alone[96.8%(122/126)vs.85.0%(96/113),x2=10.47,P<0.05].Conclusion The combined application of FNAC and BRAFV600E gene mutation detection holds an exceptional diagnostic value in the preoperative diagnosis of thyroid nodules.This approach not only elevates diagnostic sensitivity and accuracy,but also deserves clinical promotion.

Thyroid noduleCarcinoma,papillaryPathologySuctionCytological techniquesSensitivity and specificityProtein-serine-threonine kinases

黄晓萍、贺军

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温州市中心医院病理科,温州 325000

温州市中心医院B超室,温州 325000

甲状腺结节 癌,乳头状 病理学 抽吸 细胞学技术 敏感性与特异性 蛋白质丝氨酸苏氨酸激酶

2024

中国基层医药
中华医学会,安徽医科大学

中国基层医药

影响因子:1.003
ISSN:1008-6706
年,卷(期):2024.31(3)
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