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Nondiagnostic thyroid fine needle aspiration cytology: outcome in surgical treatment.
Rev Invest Clin. 2007 May-Jun; 59(3):180-3.RI

Abstract

BACKGROUND

Fine-Needle Aspiration (FNA) is the main screening process for distinguishing benign from malignant thyroid nodules. Despite this, by 5-29% of patients, their FNA results are not enough to confirm malign neoplasia, particularly in cases with follicular lesions. The objective of this report is to present the definitive histological results of a group of 41 patients with FNA of Thyroid nodule catalogued as "indeterminate/non diagnostic" sent for surgical treatment.

MATERIAL AND METHODS

A retrospective analysis was done on all of the patients who had underwent surgery for thyroid nodule, with a previous diagnosis of "indeterminate/non diagnostic" by FNA. Forty-one patients, three male (7.31%), and 38 female (92.68%), were included in the present study.

RESULTS

Fifteen women and one man were positive for malignancies (39.02%). The nodule was bigger than 4 cm in 23 patients in total (56.09%), and of this percentage, 6 were malignant (26.09%). According to age, 24 patients were older than 45 years (58.5%), 8 of whom showed malignant pathology (33.3%). All these variables were non significant. Fifteen of 16 patients had a definitive diagnosis of papillary carcinoma and one follicular carcinoma.

CONCLUSIONS

The majority of patients with a diagnosis of "indeterminated/non diagnostic" had benign lesions (60.9%). The usual predictive factors for malignity such as age, sex, size of nodule, did not present a significant support in the differential diagnosis.

Authors+Show Affiliations

Departamento de Endocrinologá, División de Medicina Interna, Hospital de Especialidades No 25, Instituto Mexicano del Seguro Social. hectorelovtamez@aol.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

17910409

Citation

Tamez-Pérez, Héctor Eloy, et al. "Nondiagnostic Thyroid Fine Needle Aspiration Cytology: Outcome in Surgical Treatment." Revista De Investigacion Clinica; Organo Del Hospital De Enfermedades De La Nutricion, vol. 59, no. 3, 2007, pp. 180-3.
Tamez-Pérez HE, Gutiérrez-Hermosillo H, Forsbach-Sánchez G, et al. Nondiagnostic thyroid fine needle aspiration cytology: outcome in surgical treatment. Rev Invest Clin. 2007;59(3):180-3.
Tamez-Pérez, H. E., Gutiérrez-Hermosillo, H., Forsbach-Sánchez, G., Gómez-de Ossio, M. D., González-González, G., Guzmán-López, S., Tamez-Peña, A. L., Mora-Torres, N. E., & González-Murillo, E. A. (2007). Nondiagnostic thyroid fine needle aspiration cytology: outcome in surgical treatment. Revista De Investigacion Clinica; Organo Del Hospital De Enfermedades De La Nutricion, 59(3), 180-3.
Tamez-Pérez HE, et al. Nondiagnostic Thyroid Fine Needle Aspiration Cytology: Outcome in Surgical Treatment. Rev Invest Clin. 2007 May-Jun;59(3):180-3. PubMed PMID: 17910409.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nondiagnostic thyroid fine needle aspiration cytology: outcome in surgical treatment. AU - Tamez-Pérez,Héctor Eloy, AU - Gutiérrez-Hermosillo,Hugo, AU - Forsbach-Sánchez,Gerardo, AU - Gómez-de Ossio,María Dolores, AU - González-González,Gerardo, AU - Guzmán-López,Santos, AU - Tamez-Peña,Alejandra Lorena, AU - Mora-Torres,Nishmy Eloísa, AU - González-Murillo,Eduardo Alfredo, PY - 2007/10/4/pubmed PY - 2007/11/2/medline PY - 2007/10/4/entrez SP - 180 EP - 3 JF - Revista de investigacion clinica; organo del Hospital de Enfermedades de la Nutricion JO - Rev Invest Clin VL - 59 IS - 3 N2 - BACKGROUND: Fine-Needle Aspiration (FNA) is the main screening process for distinguishing benign from malignant thyroid nodules. Despite this, by 5-29% of patients, their FNA results are not enough to confirm malign neoplasia, particularly in cases with follicular lesions. The objective of this report is to present the definitive histological results of a group of 41 patients with FNA of Thyroid nodule catalogued as "indeterminate/non diagnostic" sent for surgical treatment. MATERIAL AND METHODS: A retrospective analysis was done on all of the patients who had underwent surgery for thyroid nodule, with a previous diagnosis of "indeterminate/non diagnostic" by FNA. Forty-one patients, three male (7.31%), and 38 female (92.68%), were included in the present study. RESULTS: Fifteen women and one man were positive for malignancies (39.02%). The nodule was bigger than 4 cm in 23 patients in total (56.09%), and of this percentage, 6 were malignant (26.09%). According to age, 24 patients were older than 45 years (58.5%), 8 of whom showed malignant pathology (33.3%). All these variables were non significant. Fifteen of 16 patients had a definitive diagnosis of papillary carcinoma and one follicular carcinoma. CONCLUSIONS: The majority of patients with a diagnosis of "indeterminated/non diagnostic" had benign lesions (60.9%). The usual predictive factors for malignity such as age, sex, size of nodule, did not present a significant support in the differential diagnosis. SN - 0034-8376 UR - https://www.unboundmedicine.com/medline/citation/17910409/Nondiagnostic_thyroid_fine_needle_aspiration_cytology:_outcome_in_surgical_treatment_ L2 - https://medlineplus.gov/thyroiddiseases.html DB - PRIME DP - Unbound Medicine ER -