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중심부 바늘 조직검사 후에 발생한 혈종 2예

Two Cases of Thyroid Hematoma Developing after a Core Needle Biopsy

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초록

Ultrasound guided fine needle aspiration (FNA) of thyroid nodules is a very common procedure. Its diagnostic adequacy rate is approximately 70%. The adequacy rate for core needle biopsy (CNB) is approximately 80%, so that it was significantly higher than that of FNA. CNB is clinically useful in selected patients when a prior FNA reading is nondiagnostic. Complications from FNA and CNB are rare. We report on two cases of a hematoma of the neck caused by thyroid CNB with a review of literature.

Abstract

Ultrasound guided fine needle aspiration (FNA) of thyroid nodules is a very common procedure. Its diagnostic adequacy rate is approximately 70%. The adequacy rate for core needle biopsy (CNB) is approximately 80%, so that it was significantly higher than that of FNA. CNB is clinically useful in selected patients when a prior FNA reading is nondiagnostic. Complications from FNA and CNB are rare. We report on two cases of a hematoma of the neck caused by thyroid CNB with a review of literature.

참고문헌 (9)

  1. Renshaw AA, "Comparison of thyroid fine-needle aspiration and core needle biopsy", Am J Clin Pathol, 128, pp.370~374 (2007)
  2. Yoshida M, "Massive thyroid hematoma developing after a fine-needle aspiration biopsy", Intern Med, 51, pp.3223~3224 (2012)
  3. Donatini G, "Acute respiratory distress following fine needle aspiration of thyroid nodule: case report and review of the literature", G Chir, 31, pp.387~389 (2010)
  4. Roh JL, "Intrathyroid hemorrhage and acute upper airway obstruction after fine needle aspiration of the thyroid gland", Laryngoscope, 116, pp.154~156 (2006)
  5. Noordzij JP, "Airway compromise caused by hematoma after thyroid fine-needle aspiration", Am J Otolaryngol, 26, pp.398~399 (2005)
  6. Hor T, "Bilateral thyroid hematomas after fine-needle aspiration causing acute airway obstruction", Thyroid, 18, pp.567~569 (2008)
  7. Park MH, "Anterior neck hematoma causing airway compression following fine needle aspiration cytology of the thyroid nodule: a case report", Acta Cytol, 53, pp.86~88 (2009)
  8. Na DG, "Core-needle biopsy is more useful than repeat fine-needle aspiration in thyroid nodules read as nondiagnostic or atypia of undetermined significance by the Bethesda system for reporting thyroid cytopathology", Thyroid, 22, pp.468~475 (2012)
  9. Samir AE, "Core needle biopsy is useful for diagnosis of thyroid nodules after previous FNA biopsy was nondiagnostic", Thyroid, 24, pp.12~13 (2012)

관련 논문AI추천

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