| Item type |
学術雑誌論文 / Journal Article(1) |
| タイトル |
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|
タイトル |
New Surgical Indication Criterion Combining Ultrasonography and Cytology Findings for Thyroid Nodules |
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言語 |
en |
| 言語 |
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|
言語 |
eng |
| キーワード |
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言語 |
en |
|
主題Scheme |
Other |
|
主題 |
thyroid nodule |
| キーワード |
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|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
diagnostic accuracy |
| キーワード |
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|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
surgery |
| キーワード |
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|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
surgical indication |
| キーワード |
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|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
ultrasonography |
| キーワード |
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|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
cytology |
| キーワード |
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|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
the area under the curve |
| 資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
| アクセス権 |
|
|
アクセス権 |
open access |
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アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 著者 |
Inoue, Yukari
Tochigi, Kosuke
Suzuki, Yumi
Anazawa, Utaro
Nishijima, Yoshikata
Tanaka, Yasuhiro
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| 書誌情報 |
en : Dokkyo Medical Journal
巻 3,
号 1,
p. 34-41,
発行日 2024-03-25
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| 記事種別 |
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値 |
Original |
| 内容記述 |
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内容記述タイプ |
Abstract |
|
内容記述 |
Thyroid nodules occur frequently, and ultrasonography and cytological examinations are the standard methods for evaluating the characteristics of thyroid nodules and determining the indications for surgery. Although several reports have evaluated the accuracy of ultrasonographic or cytological examinations in detecting malignant thyroid tumors, their accuracy is not high enough, and inadequate diagnosis may cause delayed treatment of malignant tumors. Therefore, we combined the ultrasonographic and cytological findings and established a new surgical criterion to improve the accuracy of the preoperative detection of malignant tumors. The results of ultrasonography and cytological and histological diagnosis of 191 cases of resected thyroid tumors were retrospectively analyzed.
Ultrasonography findings were assessed for microcalcifications, irregular tumor margins, and high intratumoral blood flow; cytological findings were categorized into six types based on the Bethesda classification; and the histological diagnosis was classified into malignant and non-malignant.
Statistical analysis revealed that intratumoral microcalcifications and irregular tumor margins were characteristic ultrasonography features indicating the possibility of malignant tumors (p < 0.05). A combination of ultrasonographic and cytological findings, Bethesda classification V (suspicious for malignancy), VI (malignant), or I-IV with either intratumoral microcalcifications or irregular margins of the tumor, could be used to preoperatively identify malignant tumors with a relatively high accuracy (sensitivity, 93.4%; specificity, 71.0%; area under the curve [AUC], 0.822 [95% confidence interval: 0.753-0.892]). Our new surgical indication showed higher sensitivity and AUC than previous surgical indications based only on the Bethesda classification in cytological examinations. |
|
言語 |
en |
| 出版者 |
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|
出版者 |
Dokkyo Medical Society |
| ISSN |
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収録物識別子タイプ |
EISSN |
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収録物識別子 |
2436-522X |
| 書誌レコードID |
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収録物識別子タイプ |
NCID |
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収録物識別子 |
AA12941861 |
| DOI |
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関連タイプ |
isIdenticalTo |
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|
識別子タイプ |
DOI |
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関連識別子 |
https://doi.org/10.51040/dkmj.2023-035 |
| 出版タイプ |
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|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
DKMJ-3-1-5.pdf (560 KB)
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