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Incidental thyroid carcinoma in patients with TIR1, TIR2 and TIR3 FNA.
Ann Ital Chir. 2018; 89:113-117.AI

Abstract

AIM

The aim of our study was to evaluate the presence of incidental differentiated thyroid carcinomas, at final histological examination, in patients undergoing thyroidectomy or lobectomy for presumed benign pathology or in those with cytological diagnosis of indeterminate nodules (TIR3).

MATERIAL OF STUDY

457 patients who underwent surgery for benign disease and 179 patients with indeterminate FNA were included in our study.

RESULTS

77 out of 457 patients had the diagnosis of differentiated thyroid carcinoma. 29 out of 179 patients had the same diagnosis as previous ones, but not on the undetermined FNA nodule. In the most of the cases, the istotype was follicular variant of papillary carcinoma.

DISCUSSION

The incidence of incidental carcinomas, approximately the same in the two groups of patients, respectively 16.8% and 16.2%, shows that there is still a group of patients with benign thyroid disease escaping a careful ultrasound evaluation and therefore a targeted FNA. Even in patients with indeterminate cytology, the presence of an incidental carcinoma suggests that on the one hand there has been an overestimation and on the other a non-recognition of the really suspect nodule. Although in most cases it is a microcarcinoma, we must not overlook the presence of many tumors at stage T3.

CONCLUSIONS

Surely the analysis of the set of risk factors with a wider application of molecular biology surveys will in the future lead to better selection of patients to undergo surgery sooner than those that can be followed in follow up even for a longer period of time.

KEY WORDS

Differentiated thyroid carcinoma, Fine needle aspiration, Incidental carcinoma.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29424371

Citation

Pezzolla, Angela, et al. "Incidental Thyroid Carcinoma in Patients With TIR1, TIR2 and TIR3 FNA." Annali Italiani Di Chirurgia, vol. 89, 2018, pp. 113-117.
Pezzolla A, Lattarulo S, Barile G, et al. Incidental thyroid carcinoma in patients with TIR1, TIR2 and TIR3 FNA. Ann Ital Chir. 2018;89:113-117.
Pezzolla, A., Lattarulo, S., Barile, G., Paradies, D., Pentassuglia, G., Prete, F., & Marzaioli, R. (2018). Incidental thyroid carcinoma in patients with TIR1, TIR2 and TIR3 FNA. Annali Italiani Di Chirurgia, 89, 113-117.
Pezzolla A, et al. Incidental Thyroid Carcinoma in Patients With TIR1, TIR2 and TIR3 FNA. Ann Ital Chir. 2018;89:113-117. PubMed PMID: 29424371.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Incidental thyroid carcinoma in patients with TIR1, TIR2 and TIR3 FNA. AU - Pezzolla,Angela, AU - Lattarulo,Serafina, AU - Barile,Graziana, AU - Paradies,Daniele, AU - Pentassuglia,Giuseppe, AU - Prete,Francesco, AU - Marzaioli,Rinaldo, PY - 2018/2/10/pubmed PY - 2019/6/22/medline PY - 2018/2/10/entrez SP - 113 EP - 117 JF - Annali italiani di chirurgia JO - Ann Ital Chir VL - 89 N2 - AIM: The aim of our study was to evaluate the presence of incidental differentiated thyroid carcinomas, at final histological examination, in patients undergoing thyroidectomy or lobectomy for presumed benign pathology or in those with cytological diagnosis of indeterminate nodules (TIR3). MATERIAL OF STUDY: 457 patients who underwent surgery for benign disease and 179 patients with indeterminate FNA were included in our study. RESULTS: 77 out of 457 patients had the diagnosis of differentiated thyroid carcinoma. 29 out of 179 patients had the same diagnosis as previous ones, but not on the undetermined FNA nodule. In the most of the cases, the istotype was follicular variant of papillary carcinoma. DISCUSSION: The incidence of incidental carcinomas, approximately the same in the two groups of patients, respectively 16.8% and 16.2%, shows that there is still a group of patients with benign thyroid disease escaping a careful ultrasound evaluation and therefore a targeted FNA. Even in patients with indeterminate cytology, the presence of an incidental carcinoma suggests that on the one hand there has been an overestimation and on the other a non-recognition of the really suspect nodule. Although in most cases it is a microcarcinoma, we must not overlook the presence of many tumors at stage T3. CONCLUSIONS: Surely the analysis of the set of risk factors with a wider application of molecular biology surveys will in the future lead to better selection of patients to undergo surgery sooner than those that can be followed in follow up even for a longer period of time. KEY WORDS: Differentiated thyroid carcinoma, Fine needle aspiration, Incidental carcinoma. SN - 2239-253X UR - https://www.unboundmedicine.com/medline/citation/29424371/Incidental_thyroid_carcinoma_in_patients_with_TIR1_TIR2_and_TIR3_FNA_ L2 - https://medlineplus.gov/thyroiddiseases.html DB - PRIME DP - Unbound Medicine ER -