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.
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Glândula Tireoide
/
Biópsia
/
Nódulo da Glândula Tireoide
/
Biópsia por Agulha Fina
/
Biópsia com Agulha de Grande Calibre
/
Escala Visual Analógica
/
Agulhas
Limite:
Humanos
Idioma:
Inglês
Revista:
Endocrinology and Metabolism
Ano de publicação:
2018
Tipo de documento:
Artigo
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