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2016 ; 10
(ä): 92-102
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Comparison of 1869 thyroid ultrasound-guided fine-needle aspiration biopsies
between general surgeons and interventional radiologists
#MMPMID27594994
Bozkurt H
; ?rkörücü O
; Aziret M
; Reyhan E
; Okuyan MK
Ann Med Surg (Lond)
2016[Sep]; 10
(ä): 92-102
PMID27594994
show ga
BACKGROUND: Thyroid nodules are commonly encountered problems in clinical
practice. For patients who have a thyroid nodule, the fine-needle aspiration
biopsy (FNAB) is the most important test, as it is the most reliable diagnostic
method for distinguishing between benign thyroid nodules and cancerous nodules.
FNAB is able to be performed either via an ultrasound (USG) or alone and is the
first choice when it comes to diagnosing thyroid nodules, given that it is cheap,
safe and provides accurate results. OBJECTIVE: In this study-a retrospective
analysis of FNAB via USG - our aim is to evaluate the multiple variables related
to FNAB procedures, including the experience of the person performing the biopsy,
the age and gender of the patient, the number of nodules, the size of the
nodule(s) and the number of lams recorded from the cytopathology report on
non-diagnostic rates, conducted at an invasive radiology clinic and at a general
surgery clinic. MATERIALS AND METHODS: A total of 1062 patients involving 1869
nodules, examined using FNAB via USG, were reviewed retrospectively from records
dated between November 2011 and July 2014 and from pathology reports taken from
the ANEAH General Surgery clinic and Interventional Radiology clinic.
Cytopathology results were classified according to the 2007 Bethesda System for
Reporting. Gender, age, number of nodules, diameter of the nodules, biopsied
nodules, location of the nodules, number of lams, symptoms and the date of
biopsies were the parameters used to examine the factors involved in
non-diagnostic cytopathology invasive radiology. These parameters were inspected
at both of the clinics (ANEAH General Surgery clinic and Interventional Radiology
clinic). In analyzing the results, the statistical significance level was set at
0.05, where in cases that the p value was under 0.05 (p < 0.05), it was
determined that no significant relationship existed. In this study, data were
analyzed using SPSS 20 software. RESULTS: Of the nodules reviewed, 1620 were
found on females and 249 on males. The age of the patients ranged from 10 to 87
years, with the mean age being 50 years. In the general surgery clinic, 470
nodules of 341 patients were aspirated, and in the interventional radiological
clinic, 1399 nodules of 721 patients were aspirated. In the literature review
conducted to compare statistical assessments of FNAB via USG, no significant
difference was found between the ANEAH General Surgery clinic and the Invasive
Radiology clinic (p > 0.05). In the invasive radiology clinic, non-diagnostic
rates decreased with the increase in experience of the person who conducted the
biopsy (p = 0.001). CONCLUSION: The results from both of the clinic's rates of
non-diagnostic FNAB, performed via USG, were found to be acceptable. Our study
also demonstrates that USG-guided FNAB can be performed with a low non-diagnostic
rate as experience grows.