Ultrasound-guided, histological, fine-needle biopsy from suspect parathyroid tumours: success-rate and reliability of histological diagnosis
| Autor: | A. Glenthøj, Hans Henrik Holm, S. Karstrup, Laszlo Hegedüs, Søren Torp-Pedersen, B. Hainau |
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| Rok vydání: | 1989 |
| Předmět: |
Adult
Male medicine.medical_specialty Parathyroid hormone Fine needle biopsy Cytology Histological diagnosis Biopsy medicine Humans Radiology Nuclear Medicine and imaging Aged Retrospective Studies Ultrasonography Aged 80 and over Chance agreement Hyperparathyroidism medicine.diagnostic_test business.industry Biopsy Needle General Medicine Middle Aged medicine.disease Ultrasound guided Parathyroid Neoplasms Female Radiology business |
| Zdroj: | The British Journal of Radiology. 62:981-985 |
| ISSN: | 1748-880X 0007-1285 |
| DOI: | 10.1259/0007-1285-62-743-981 |
| Popis: | Ultrasound-guided, fine-needle tissue biopsies were performed in 60 suspected parathyroid tumours in 55 consecutive patients with biochemically proven hyperparathyroidism. The specimens were randomly arranged and re-read “blind” by two pathologists. The interobserver agreement, corrected for chance agreement, was 0.92 (= kappa coefficient). Twenty-three of the 60 suspect parathyroid tumours were verified histologically following surgery. No diagnostic errors were seen but the percentage of insufficient biopsies from suspect parathyroid tumours or surgically verified parathyroid tumours was high (45 and 47%, respectively). We conclude that a reliable tissue diagnosis can be made by ultrasound-guided, fine-needle tissue biopsy. However, when the material is insufficient for histological diagnosis, we recommend the additional use of ultrasound-guided, fine-needle aspiration for cytology or parathyroid hormone determination. |
| Databáze: | OpenAIRE |
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