A Comparison of Ultrasound-Guided Fine Needle Aspiration versus Core Needle Biopsy for Thyroid Nodules: Pain, Tolerability, and Complications
Endocrinology and Metabolism
;
: 114-120, 2018.
Article
in English
| WPRIM
| ID: wpr-713167
ABSTRACT
BACKGROUND:
To compare pain, tolerability, and complications associated with fine needle aspiration (FNA) versus core needle biopsy (CNB).METHODS:
FNAs were performed using 23-gauge needles and CNBs were performed using 18-gauge double-action spring-activated needles in 100 patients for each procedure. Patients were asked to record a pain score using a 10-cm visual analog scale and procedure tolerability. Complications and number of biopsies were recorded.RESULTS:
The median pain scores were similar for the FNA and CNB approaches during and 20 minutes after the biopsy procedures (3.7 vs. 3.6, P=0.454; 0.9 vs. 1.1, P=0.296, respectively). The procedure was tolerable in all 100 FNA patients and in 97 CNB patients (P=0.246). The mean number of biopsies was fewer in the CNB group (1.4 vs. 1.2, P=0.002). By subgroup analysis (staff vs. non-staff), no significant difference was detected in any parameter. There were no major complications in either group, but three patients who underwent CNB had minor complications (P=0.246).CONCLUSION:
FNA and CNB show no significant differences for diagnosing thyroid nodules in terms of pain, tolerability, or complications.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Thyroid Gland
/
Biopsy
/
Thyroid Nodule
/
Biopsy, Fine-Needle
/
Biopsy, Large-Core Needle
/
Visual Analog Scale
/
Needles
Limits:
Humans
Language:
English
Journal:
Endocrinology and Metabolism
Year:
2018
Type:
Article
Similar
MEDLINE
...
LILACS
LIS