Subject(s)
Adrenal Insufficiency/etiology , Adrenoleukodystrophy/diagnosis , ATP Binding Cassette Transporter, Subfamily D, Member 1/genetics , Adrenoleukodystrophy/complications , Adrenoleukodystrophy/genetics , Adult , Delayed Diagnosis , Dopamine Plasma Membrane Transport Proteins/analysis , Dyslipidemias/complications , Female , Genetic Carrier Screening , Genetic Counseling , Humans , Iodine Radioisotopes , Male , Middle Aged , Nortropanes , Parkinson Disease/complications , Parkinson Disease/diagnostic imaging , Point Mutation , Positron-Emission Tomography , Young AdultABSTRACT
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Subject(s)
Humans , Male , Middle Aged , Adrenal Insufficiency/complications , Adrenal Insufficiency/genetics , Adrenoleukodystrophy/diagnosis , Adrenoleukodystrophy/genetics , X Chromosome/genetics , Hydrocortisone/therapeutic use , Aldosterone/analysis , Adrenal Glands/diagnostic imagingABSTRACT
INTRODUCTION: Fine-needle aspiration biopsy (FNAB) is considered the reference diagnostic procedure for thyroid nodules. MATERIALS AND METHODS: Routine performance of thyroid ultrasound and ultrasound-guided FNAB by endocrinologists allows a more efficient approach in the setting of a high-resolution practice, thus reducing costs and the time elapsed until diagnosis. RESULTS: We present our initial results of this procedure 2 years after its introduction, with a total of 286 biopsies performed. After a progressive learning curve over time and according to the endocrinologists' previous experience, 72.72% samples were considered satisfactory for diagnosis. Greater difficulty was observed in obtaining optimal cytological specimens in smaller nodules. In conclusion, we have successfully incorporated thyroid ultrasound and ultrasound-guided FNAB into routine endocrine practice. CONCLUSION: Routine performance of thyroid ultrasound in endocrine practice will considerably aid the management of nodular thyroid disease.
Subject(s)
Biopsy, Fine-Needle , Thyroid Diseases/pathology , Thyroid Neoplasms/pathology , Ultrasonography, Interventional , Adenocarcinoma, Follicular/diagnostic imaging , Adenocarcinoma, Follicular/epidemiology , Adenocarcinoma, Follicular/pathology , Adenoma/diagnostic imaging , Adenoma/epidemiology , Adenoma/pathology , Adult , Biopsy, Fine-Needle/adverse effects , Biopsy, Fine-Needle/methods , Biopsy, Fine-Needle/statistics & numerical data , Carcinoma, Papillary/diagnostic imaging , Carcinoma, Papillary/epidemiology , Carcinoma, Papillary/pathology , Cysts/diagnostic imaging , Cysts/epidemiology , Cysts/pathology , Endocrinology/organization & administration , Female , Goiter, Nodular/diagnostic imaging , Goiter, Nodular/pathology , Hematoma/etiology , Hospital Departments , Hospitals, University/organization & administration , Humans , Lymphoma, Non-Hodgkin/diagnostic imaging , Lymphoma, Non-Hodgkin/epidemiology , Lymphoma, Non-Hodgkin/pathology , Male , Pregnancy , Pregnancy Complications/diagnostic imaging , Pregnancy Complications/pathology , Spain/epidemiology , Syncope, Vasovagal/etiology , Thyroid Diseases/diagnostic imaging , Thyroid Neoplasms/diagnostic imaging , Thyroid Neoplasms/epidemiology , Ultrasonography, Interventional/statistics & numerical dataABSTRACT
Introducción La PAAF es el procedimiento de referencia para el diagnóstico del nódulo tiroideo. Material y métodos La incorporación de la ecografía cervical y la PAAF guiada por ecografía a la actividad del médico endocrinólogo permite abordar esta patología en el ámbito de una consulta de alta resolución, con la consiguiente reducción en el coste del proceso y en la demora del diagnóstico. Resultados Presentamos los resultados iniciales de esta consulta; tras los dos primeros años y con un total de 286 punciones, nos situamos en un 72,72% de citologías aptas para diagnóstico, siguiendo una curva de aprendizaje acorde con el tiempo transcurrido y con la experiencia previa. Observamos una mayor dificultad en la obtención de citologías óptimas para diagnóstico en los nódulos de menor tamaño. En resumen, hemos incorporado la ecografía y la PAAF guiada por ecografía de manera satisfactoria a la consulta endocrinológica. Conclusión El uso de manera rutinaria de la ecografía en la consulta de endocrinología permite agilizar el manejo de la patología nodular tiroidea (AU)
Introduction Fine-needle aspiration biopsy (FNAB) is considered the reference diagnostic procedure for thyroid nodules. Materials and methods Routine performance of thyroid ultrasound and ultrasound-guided FNAB by endocrinologists allows a more efficient approach in the setting of a high-resolution practice, thus reducing costs and the time elapsed until diagnosis. Results We present our initial results of this procedure 2 years after its introduction, with a total of 286 biopsies performed. After a progressive learning curve over time and according to the endocrinologists previous experience, 72.72% samples were considered satisfactory for diagnosis. Greater difficulty was observed in obtaining optimal cytological specimens in smaller nodules. In conclusion, we have successfully incorporated thyroid ultrasound and ultrasound-guided FNAB into routine endocrine practice. Conclusion Routine performance of thyroid ultrasound in endocrine practice will considerably aid the management of nodular thyroid disease (AU)
