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Ultrasound-Guided Fine-Needle Aspiration Biopsy in Unselected Consecutive Patients with Thyroid Nodules
Joint Authors
Kamenov, Zdravko A.
Karamfilova, Vera N.
Chavrakov, Georgi N.
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-07-14
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
The objective was to analyze the results of UG-FNAB, performed in unselected consecutive patients with thyroid nodules.
Methods.
The UG-FNAB records were analyzed in this retrospective study.
Indication for biopsy was the presence of at least one nodule detected by ultrasound.
Results.
330 patients at mean age ± SD 48.4 ± 11.2 years; women/men = 12.8/1 were analyzed.
From the total 596 nodules found 546 (91.6%) were investigated with 1231 punctures (2.3 per nodule and 3.7 per patient).
Benign solitary nodules had 42.7%, multinodular goiter (MNG) 44.8%, inconclusive 4.8%, and others 2.1% and malignant nodules 5.5% of the patients (6.6% of solitary and 5.1% of MNG patients).
The risk for a separate nodule in MNG to be malignant was 2.7%.
Conclusions.
UG-FNAB is a safe and reliable diagnostic approach for thyroid nodules.
It is the method of choice for hypo- and isoechoic not purely cystic solitary nodules, regardless of the nodule size.
In MNG, its positive predictive value and diagnostic accuracy are lower.
The final decision for regular US monitoring, UG-FNAB of the dominant nodule, multipuncture UG-FNAB or surgical exploration is one of complex appraisal.
We consider UG-FNAB appropriate for most nodules in MNG, according to the above mentioned criteria.
American Psychological Association (APA)
Kamenov, Zdravko A.& Karamfilova, Vera N.& Chavrakov, Georgi N.. 2011. Ultrasound-Guided Fine-Needle Aspiration Biopsy in Unselected Consecutive Patients with Thyroid Nodules. ISRN Endocrinology،Vol. 2011, no. 2011, pp.1-7.
https://search.emarefa.net/detail/BIM-460319
Modern Language Association (MLA)
Kamenov, Zdravko A.…[et al.]. Ultrasound-Guided Fine-Needle Aspiration Biopsy in Unselected Consecutive Patients with Thyroid Nodules. ISRN Endocrinology No. 2011 (2011), pp.1-7.
https://search.emarefa.net/detail/BIM-460319
American Medical Association (AMA)
Kamenov, Zdravko A.& Karamfilova, Vera N.& Chavrakov, Georgi N.. Ultrasound-Guided Fine-Needle Aspiration Biopsy in Unselected Consecutive Patients with Thyroid Nodules. ISRN Endocrinology. 2011. Vol. 2011, no. 2011, pp.1-7.
https://search.emarefa.net/detail/BIM-460319
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-460319