Contribution of quantitative cytology to the cytological diagnosis of thyroid neoplasms.

Abstract:

:In a previous study we determined that the fine needle aspiration (FNA) biopsy of thyroid produces 16% of false-negative cases (FNC). In order to determine the value of quantitative cytology (QC) as a tool for predicting the FNC result, thirty-seven cases, 18 of which were operated (histologically benign: 13; malignant: 3; atypical adenoma; 2) were examined for quantitative morphologic characteristics. The smears were stained by the Feulgen method and nuclear parameters of morphometry, densitometry and texture were computed by a cell image processor. The system was first taught to recognize the benign and malignant cells from 3 histologically benign and malignant lesions. Thereafter, prospective cases were submitted to decisional analysis. For 10 histologically benign cases, the benign cell rate (bcr) ranged from 65% to 99.4 (95% confidence interval). Among the patients with a cytologically benign lesion (and an unknown histological diagnosis), 2 had a bcr less than 65% and so were not to be regarded as benign. The follow-up of these patients will show whether they represent FNC and whether QC can be of predictive value in assessing the FNC.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Liautaud-Roger F,Dufer J,Pluot M,Delisle MJ,Coninx P

subject

Has Abstract

pub_date

1989-01-01 00:00:00

pages

231-4

issue

1

eissn

0250-7005

issn

1791-7530

journal_volume

9

pub_type

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