Diagnosing diseases of the thyroid gland by means of scintiscanning and puncture cytology taking into consideration the nodular goitre
Description
This paper contains the results of scintigraphical and puncture-cytological examinations carried out during an observation period of appr. 3 years on 548 patients with goiters from the Upper-Bavarien endemis region. In total, we had 484 thyroid gland scintigrams which showed 335 uninodular, 71 multinodular, and 78 diffuse goiters. The 335 solitary nodular goiters were allocated 278 cold, 36 warm, and 18 hot nodes; in three cases, the scintigram could not be assessed due to exogenous iodine contamination. In the 71 multinodular goiters, we found 118 cold, 28 warm, and 9 hot nodes. Cytological findings were established in 548 patients. In 484 cases, the findings were negative, in 19 cases suspicious, and in 17 cases positive. The efficiency of cytological diagnosis of malignant tumours can be stated to be 87.5%. The rate of falsely negative smears was 12.5%; cytologically, in 10.9% of the preparations falsely suspicious diagnoses were established, and in 1.6% the diagnoses were falsely positive. (orig./MG)
Availability note (English)
MF available from INIS under the Report Number.Abstract (German)
Es wird ueber die Ergebnisse von szintigraphischen und punktionszytologischen Untersuchungen berichtet, die in einem Beobachtungszeitraum von ca. 3 Jahren an 548 Struma-Patienten aus em oberbayerischen Endemiegebiet durchgefuehrt worden ist. Insgesamt lagen 484 Schilddruesenszintigramme vor, die 335 uninodoese, 71 multidonoese und 78 diffuse Strumen nachweisen liessen. Den 335 solitaeren Strumaknoten waren 278 kalte, 36 warme und 18 heisse Knoten zuzuordnen, 3 mal konnte das Szintigramm wegen exogener Jodkontamination nicht beurteilt werden. In den 71 mehrknotigen Strumen fanden wir 118 kalte sowie 28 warme und 9 heisse Knoten. Zytologische Befunde erhoben wir bei 548 Patienten. Bei 484 Patienten war die Zytologie negativ, in 19 Faellen verdaechtig und 17 mal positiv. Die Treffsicherheit der zytologischen Malignomdiagnostik koennen wir mit 87,5% angeben. Die Rate falsch negativer Ausstriche lag bei 12,5%, falsch verdaechtige Diagnosen wurden zytologisch bei 10,9%, falsch positive bei 1,6% der Praeparate erhoben. Insgesamt entsprechen 5,5% der histologisch ueberprueften kalten Strumaknoten einem Malignom. (orig./MG)
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Additional details
Additional titles
- Original title (German)
- Szintigraphische und punktioszytologische Schilddruesendiagnostik unter besonderer Beruecksichtigung der Knotenstruma
Publishing Information
- Imprint Pagination
- 119 p.
- Report number
- INIS-mf--9170
INIS
- Country of Publication
- Germany
- Country of Input or Organization
- Germany
- INIS RN
- 15064231
- Subject category
- S62: RADIOLOGY AND NUCLEAR MEDICINE;
- Resource subtype / Literary indicator
- Thesis
- Descriptors DEI
- ACCURACY; BIOPSY; CARCINOMAS; DIAGNOSIS; GOITER; IMAGES; IODINE 131; ISOMERIC NUCLEI; PATIENTS; PERTECHNETATES; QUANTITY RATIO; RADIOPHARMACEUTICALS; SCINTISCANNING; TECHNETIUM 99; THYROID
- Descriptors DEC
- BETA DECAY RADIOISOTOPES; BETA-MINUS DECAY RADIOISOTOPES; BODY; COUNTING TECHNIQUES; DAYS LIVING RADIOISOTOPES; DIAGNOSTIC TECHNIQUES; DISEASES; DRUGS; ENDOCRINE DISEASES; ENDOCRINE GLANDS; GLANDS; HOURS LIVING RADIOISOTOPES; INTERMEDIATE MASS NUCLEI; IODINE ISOTOPES; ISOMERIC TRANSITION ISOTOPES; ISOTOPES; LABELLED COMPOUNDS; MATERIALS; NEOPLASMS; NUCLEI; ODD-EVEN NUCLEI; ORGANS; OXYGEN COMPOUNDS; RADIOACTIVE MATERIALS; RADIOISOTOPE SCANNING; RADIOISOTOPES; TECHNETIUM COMPOUNDS; TECHNETIUM ISOTOPES; TRANSITION ELEMENT COMPOUNDS; YEARS LIVING RADIOISOTOPES