Correlación del diagnóstico cito-histológico en nódulos tiroídeos año 2005. Indicador de calidad

Autores/as

  • Leonor Moyano S. Hospital Clínico Universidad de Chile. Servicio de Anatomía Patológica
  • Laura Carreño T. Hospital Clínico Universidad de Chile. Servicio de Anatomía Patológica
  • Juan Pablo Niedman E. Hospital Clínico Universidad de Chile. Servicio de Imagenología
  • Pedro Pineda B. Hospital Clínico Universidad de Chile. Servicio de Endocrinología
  • Carla Corco R. Universidad de Chile
  • Sebastián Novoa E. Universidad de Chile

Resumen

The fine-needle aspirates are used as the first step in the diagnostic management of thyroid nodules, they are considered cost-effective compared with the other approaches. During 2005 we studied 47 patients with cytology in the preoperative. We compared the FNAB results with the biopsy of the specimen to establish the accuracy of this method. The diagnosis of papillary carcinoma was correctly made in 18 of 47 histologically proven cases. There were no false positive cases. Of the 20 negative cases, 13 had benign diseases; 1 was a false negative with a follicular carcinoma; 3 cases had papillary microcarcinomas and 3 minimally invasive follicular carcinomas. The sensibility and specificity was 100% and 72% respectively. The positive predictive value was 100% and negative predictive value 65%. PAAF of the thyroid gland proved to be an excellent strategy in the preoperative diagnosis for the management of the thyroid nodules.

Palabras clave:

Biopsia con Aguja Fina, Técnicas Citológicas, Nódulo Tiroideo, Indicadores de Calidad de la Atención de Salud