Repeated fine-needle aspiration cytology for the diagnosis and follow-up of thyroid nodules

The purpose of research was comparing the ultrasound (US) features and fine-needle aspiration cytology (FNAC) in detecting the thyroid nodules in clinical practice. A cross-sectional analytical study retrospectively reviewed the US and FNAC findings for a total of 170 thyroid nodules. The US features that we compared included echogenicity, calcifications, shape, halo and Doppler, between 2017 and 2018. Totally, 170 nodules of thyroid were studied, which contained 72 (42.4%) benign and 98 (57.6%) malignant thyroid nodules. The sonographic features were significantly associated with malignancy such as microcalcification (97.0%), hyperechogenicity (91.5%), wider than taller shape (98.0%), absent halo (90.9%) and positive Doppler (78.0%) (P < 0.01). The altogether accuracies of calcification, echogenicity, shape, halo, and Doppler were 0.96, 0.92, 0.97,0.82 and 0.82, respectively. Our data suggest that US features could be a good sonographic criterion for recommending FNA cytology with follow‐up thyroid sonography and FNA.

Download Full-text

Fine-Needle Aspiration Cytology in the Preoperative Diagnosis of Thyroid Nodules

Annals of Internal Medicine ◽

10.7326/0003-4819-87-3-265 ◽

1977 ◽

Vol 87 (3) ◽

pp. 265 ◽

Cited By ~ 76

Author(s):

MARVIN C. GERSHENGORN

Keyword(s):

Fine Needle Aspiration ◽

Fine Needle Aspiration Cytology ◽

Preoperative Diagnosis ◽

Thyroid Nodules ◽

Needle Aspiration ◽

Aspiration Cytology ◽

Fine Needle ◽

Needle Aspiration Cytology

Download Full-text

Is the anteroposterior and transverse diameter ratio of nonpalpable thyroid nodules a sonographic criteria for recommending fine-needle aspiration cytology?

Clinical Endocrinology ◽

10.1111/j.1365-2265.2005.02406.x ◽

2005 ◽

Vol 63 (6) ◽

pp. 689-693 ◽

Cited By ~ 82

Author(s):

Carlo Cappelli ◽

Ilenia Pirola ◽

Davide Cumetti ◽

Linda Micheletti ◽

Andrea Tironi ◽

...

Keyword(s):

Fine Needle Aspiration ◽

Fine Needle Aspiration Cytology ◽

Thyroid Nodules ◽

Needle Aspiration ◽

Diameter Ratio ◽

Transverse Diameter ◽

Aspiration Cytology ◽

Fine Needle ◽

Needle Aspiration Cytology

Download Full-text

CORRELATION OF HIGH RESOLUTION ULTRASOUND AND COLOR DOPPLER FINDINGS OF THYROID NODULES WITH FINE NEEDLE ASPIRATION CYTOLOGY

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2015/1415 ◽

2015 ◽

Vol 4 (56) ◽

pp. 9797-9809

Author(s):

Rajendra Kumar N L ◽

Shashikumar M R ◽

Nanjaraj C P ◽

Hemanth P N ◽

Vishwanath Joshi

Keyword(s):

High Resolution ◽

Fine Needle Aspiration ◽

Fine Needle Aspiration Cytology ◽

Thyroid Nodules ◽

Color Doppler ◽

Needle Aspiration ◽

Aspiration Cytology ◽

Fine Needle ◽

Needle Aspiration Cytology

Download Full-text

Is it possible to eliminate the number of inappropriate thyroid surgeries combining scintigraphy and cytology?

Clinical Medical Reviews and Reports ◽

10.31579/2690-8794/076 ◽

2021 ◽

Vol 3 (5) ◽

pp. 01-03

Author(s):

Smaroula Divani

Keyword(s):

Fine Needle Aspiration ◽

Fine Needle Aspiration Cytology ◽

Thyroid Nodules ◽

Follicular Carcinoma ◽

Accurate Method ◽

Needle Aspiration ◽

Aspiration Cytology ◽

Fine Needle ◽

Needle Aspiration Cytology ◽

Indeterminate Cytology

Objective: Although fine needle aspiration cytology (FNAC) is the most reliable, safe and accurate method for the clinical management of abnormal thyroid nodules, 5%-15% of cases lead to indeterminate diagnoses and surgery is the recommended practice for them as they may be malignant. Nevertheless, the majority of cases with indeterminate cytology are benign, so the risk of unnecessary surgery is significant. In our study we combined FNAC and scintigraphy in order to reduce the number of inappropriate surgeries. Subjects and Methods: From 219 patients with thyroid fine needle aspiration cytology 33(9 males and 24 females) aged 18-73 years, had indeterminate FNAC diagnoses and were referred for scintigraphy. Surgery was performed in all cases. The results of FNAC, scintigraphy and histology were collected and compared. Results: From 33 cases with indeterminate cytology 32 had a benign histological diagnosis and only one was malignant (follicular Ca). That case had a positive scan. All cases with negative thyroid scans (29/33) were benign. False positive scans were 3, whereas one scan was true positive with final diagnosis follicular carcinoma. Conclusion: This study showed that combining the FNAC with the thyroid scintigraphy in cases of thyroid nodules with indeterminate cytology it is possible to reduce the number of inappropriate surgeries from 32 to 3.

Download Full-text