The Characteristics and Strategy of Treatment for Non-diagnostic Thyroid Fine-needle Aspiration Cytology / 대한내분비외과학회지
Korean Journal of Endocrine Surgery
; : 245-248, 2010.
Article
em Ko
| WPRIM
| ID: wpr-90093
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE: The management of non-diagnostic fine needle aspiration biopsy of thyroid nodules has been a dilemma. The purposes of this study were to analyze the characteristics and the results of follow up of non-diagnostic aspirates and to evaluate the management strategy. METHODS: A retrospective review was conducted on the patients who underwent fine-needle aspiration of thyroid nodules that were found on a health examination. The patients' records were assessed for the demographics, the ultrasound findings and the pathologic findings. RESULTS: The initial non-diagnostic rate was 35%. The nodule size (≤10 mm) and cystic nodule were related to a high rate of non-diagnostic results. The common causes of non-diagnostic results by pathologic description were reducedcellularity (59.3%) and blood (28.2%). Among the 62 initially non-diagnosed patients, 2 patients were confirmed to have malignancy and 32 patients (51.6%) were lost from follow-up. Reaspiration was performed in 18 patients and 6 patients still resulted non-diagnostic aspirates. CONCLUSION: Nodule size and cystic nodule were associated with a high rate of non-diagnostic results. Non-diagnostic results of thyroid nodules may be associated with a relatively high frequency of follow up loss, and non-diagnostic results may be associated with a probability of malignancy. So, non-diagnostic results should not be considered just benign, and clinicians should recommend a repeat exam for such patients.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Glândula Tireoide
/
Biópsia
/
Demografia
/
Estudos Retrospectivos
/
Seguimentos
/
Ultrassonografia
/
Nódulo da Glândula Tireoide
/
Biópsia por Agulha Fina
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
Ko
Revista:
Korean Journal of Endocrine Surgery
Ano de publicação:
2010
Tipo de documento:
Article