Accuracy of fine-needle biopsy of the thyroid gland and its relationship to clinical and radiologic factors

1999 ◽  
Vol 256 (9) ◽  
pp. 476-477
Author(s):  
J. F. Carrillo ◽  
M. Frías-Mendívil ◽  
F. J. Ochoa-Carrillo ◽  
M. Ibarra ◽  
J. L. Barrera
Keyword(s):  
Thyroid Gland ◽  
Needle Biopsy ◽  
Fine Needle Biopsy ◽  
Fine Needle

scholarly journals Thyroid Tissue Connected to Normally Located Thyroid Gland: Ectopic or Exophytic?

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Erol Keles ◽  
Sule Ozkara ◽  
Turgut Karlidag ◽  
İbrahim Hanifi Ozercan
Keyword(s):  
Thyroid Gland ◽  
Needle Biopsy ◽  
Thyroid Tissue ◽  
Surgical Excision ◽  
Fine Needle Biopsy ◽  
Ectopic Thyroid ◽  
Fibrous Band ◽  
Fine Needle ◽  
Ectopic Thyroid Tissue ◽  
The Right

Ectopic thyroid tissue is seen rarely. It is often seen in cervical midline, and rarely in other areas such as submandibular area. Diagnosis is made histopathologically by fine needle biopsy after the elimination of malignancy. In the treatment of ectopic thyroid tissue, surgical excision is mostly applied. According to our knowledge, there is no exophytic thyroid tissue reported in the literature. In this paper, a 32-year-old woman who presented with a swelling under the right jaw and found a thyroid tissue attached to the normally located thyroid gland with a fibrous band in the neck was discussed.

scholarly journals Diagnostic value of ultrasound in the evaluation of the echostructures of the nodular formation of the thyroid gland using the classification system TI-RADS

2019 ◽  
Vol 86 (10) ◽  
pp. 62-66
Author(s):  
A. F. Hummatov ◽  
S. A. Aliev ◽  
Kh. N. Shirinova ◽  
A. H. Abbasov
Keyword(s):  
Thyroid Gland ◽  
Needle Biopsy ◽  
Fine Needle Biopsy ◽  
Diagnostic Value ◽  
Papillary Cancer ◽  
Surgical Interventions ◽  
Fine Needle ◽  
Group A ◽  
Bethesda System ◽  
The Bethesda System

Objective. Estimation of the ultrasonographic criteria efficacy in accordance to the TI-RADS system while determining the morphological structures of nodal thyroid affections. Materials and methods. Results of ultrasonographic investigation in 546 patients, ageing 17 - 76 old and suffering thyroidal nodal affections, were analyzed. All the patients were divided into two groups. Into the firsr group  (the main) 427 (78.2%) patients were included, to whom ultrasonographic investigation was performed by a surgeon-endocrinologist. Into the second group (the control one) 119 (21.8%) patients were included, to whom ultrasonographic investigation was performed by a radiologist. Ultrasonographic criteria with nodal thyroidal affections were estimated in accordance to the TI-RADS scale, and the results of cytological investigations of the nodal affections - in accordance to criteria of the Bethesda system. The degree of the malignant nodal affections risk was determined, taking into account a quantity of intranodal echographic signs in accordance to the points gradation, using a Ti-RADS system. Results. In accordance to results of pathohistological investigations of the removed specimen a benign changes were revealed in 128 (76.6%) patients, and malignant - in 39 (23.4%). In structure of malignant affections papillary cancer was established in 23 patients, follicular - in 13, medullary - in 2, Hurtle-cellular - in 1 patient. In accordance to cytological investigations, conducted in 2014 - 2018 yrs., there was established, that in the first group a fine-needle biopsy was conducted in 211/427(49.4%) patients. Operative interventions were performed in 105 (24.6%) patients. In the second group a fine-needle biopsy was performed in 64/119 (53.8%) patients. Operative intervention was conducted in 62 (52.1%) patients. Conclusion. While conduction of ultrasonographic investigation by a surgeon-endocrinologist the rate of revealing of false-positive echographic signs have lowered in more than 2 times (1.4%), comparing with analogous index while conduction of the investigation by radiologist (3.1%). Application of a TI-RADS classification have permitted to reduce the rate of the fine-needle biopsy and doing of surgical interventions.

Fine-Needle Biopsy of the Thyroid Gland

1978 ◽  
Vol 87 (2) ◽  
pp. 224-227 ◽  
Author(s):  
Lars-Bertil Schnürer ◽  
Åke Widström
Keyword(s):  
Thyroid Gland ◽  
Needle Biopsy ◽  
Laboratory Tests ◽  
Fine Needle Biopsy ◽  
Regional Hospital ◽  
Definite Diagnosis ◽  
Cytological Investigation ◽  
Fine Needle ◽  
Biopsy Specimens ◽  
Clinical Methods

At the ENT Clinic of the Regional Hospital in Örebro, cytological investigation of fine-needle biopsy specimens has been carried out to a steadily increasing extent for more than ten years as a complement to clinical methods of investigation and laboratory tests in cases of goiter. Evaluated here are the method's diagnostic accuracy and its value in investigatory work. The material consists of 303 patients with goiter who were operated from 1964 to 1971 following fine-needle biopsy. Cases where biopsy only was undertaken are not included. Assessable cytological material was obtained in 284 cases (94%). Although not less than 15 doctors carried out the fine-needle biopsies there was approximately a 93% agreement between the cytological and histological diagnoses. In 15 of 28 cases of thyroid carcinoma it was possible to make a definite diagnosis preoperatively, while in 12 of the remaining cases atypia suspected of malignancy was found. The possibility of being able to demonstrate or suspect a carcinoma preoperatively is of great importance for the surgeon, as a more extensive intervention can be planned in advance and the patient informed before the operation.

scholarly journals DIAGNOSTIC AND TREATMENT STRATEGY IN FOLLICULAR TUMOR OF THYROID GLAND

2015 ◽  
Vol 174 (2) ◽  
pp. 77-80
Author(s):  
M. V. Mikhailova ◽  
I. N. Zubarovskiy ◽  
S. K. Osipenko
Keyword(s):  
Thyroid Gland ◽  
Autoimmune Thyroiditis ◽  
Needle Biopsy ◽  
Histological Study ◽  
Follicular Adenoma ◽  
Final Diagnosis ◽  
Fine Needle Biopsy ◽  
Fine Needle ◽  
Final Study ◽  
Follicular Tumor

The article is based on the treatment results of 44 patients with follicular tumor of thyroid gland. A staged morphological assessment of thyroid nodes was performed for all patients: in case of preoperative fine-needle biopsy, urgent intraoperative study and according to results of final histological research. The urgent histological study of surgical material was conducted for 44 patients with diagnosis «follicular tumor» according to fine-needle biopsy. The data of final histological study were matched with findings of intraoperative research. A micro-follicular adenoma was detected in 22 patients (50%) and 6 (13,6%) patients had this diagnosis combined with autoimmune thyroiditis. The general part of patients didn’t changed in final study, but the rate of diagnosis «micro-follicular adenoma against the background of autoimmune thyroiditis» increased. Papillary carcinoma was revealed in 5 (11,4%) patients and follicular cancer had 4 (9,1%) patients detected in intraoperative study and 3 (6,8%) more patients according to data of final research. The histopathologic feature of colloid goiter was observed in 7 (15,9%) cases and a part of such patients reduced to 6,8% during final study. One of the patients (2,3%) had final diagnosis «oncocytoma». In case of thyroid nodules detection the needle biopsy should be carried out regardless to the size of nodule. The authors recommended performing the surgery with the urgent histological study in case of undetermined histological report. The following surgical strate gy was specified by the results of the urgent histological report.

Fine-needle biopsy of thyroid gland

1979 ◽  
Vol 12 (4) ◽  
pp. 289-297 ◽  
Author(s):  
M. Bodo ◽  
L. Döbrössy ◽  
I. Sinkovics ◽  
G. Tarján ◽  
K. Daubner
Keyword(s):  
Thyroid Gland ◽  
Needle Biopsy ◽  
Fine Needle Biopsy ◽  
Fine Needle

Is thyroid surgery performed too often in Germany?

2015 ◽  
Vol 54 (03) ◽  
pp. 101-105 ◽  
Author(s):  
F. A. Verburg
Keyword(s):  
Surgical Procedures ◽  
Thyroid Surgery ◽  
Needle Biopsy ◽  
Fine Needle Biopsy ◽  
Contributing Factors ◽  
Fine Needle ◽  
Diagnostic Measures ◽  
Frequent Use ◽  
Preoperative Diagnostic ◽  
The Usa

SummaryThyroid surgery is one of the more common surgical procedures in Germany. This is in contrast with the situation in some other countries, where this procedure is performed comparatively rarely. In this paper the number of thyroid surgeries in Germany is compared with other western countries (Netherlands, USA, England). In contrast to e. g. the USA and England the number of thyroid surgeries in Germany is declining, however with approximately 109/100 000/year in 2012 is still elevated (Netherlands: 16/100 000/year, USA: at least 42/100 000/year, England: at least 27/100 000/year).Possible contributing factors to this higher number of thyroid surgeries in Germany are explored. These factors include iodine deficiency, the frequent use of advanced diagnostics such as ultrasound, insufficient use of preoperative diagnostic measures such as fine needle biopsy and the practice of “defensive medicine”. How much each of these factors contributes is however unclear.

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