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Type: Artigo de periódico
Title: [repeated Fine-needle Aspiration Cytology For The Diagnosis And Follow-up Of Thyroid Nodules].
Author: Graciano, Agnaldo José
Chone, Carlos Takahiro
Fischer, Carlos Augusto
Bublitz, Giuliano Stefanello
Peixoto, Ana Jacinta de Aquino
Abstract: The recently-proposed Bethesda reporting system has offered clinical recommendations for each category of reported thyroid cytology, including repeated fine-needle aspiration (FNA) for non-diagnostic and atypia/follicular lesions of undetermined significance, but there are no sound indications for repeated examination after an initial benign exam. To investigate the clinical validity of repeated FNA in the management of patients with thyroid nodules. The present study evaluated 412 consecutive patients who had repeated aspiration biopsies of thyroid nodules after an initial non-diagnostic, atypia/follicular lesion of undetermined significance, or benign cytology. The majority of patients were female (93.5%) ranging from 13 to 83 years. Non-diagnostic cytology was the most common indication for a repeated examination in 237 patients (57.5%), followed by benign (36.8%), and A/FLUS (5.6%) cytology. A repeated examination altered the initial diagnosis in 70.5% and 78.3% of the non-diagnostic and A/FLUS patients, respectively, whereas only 28.9% of patients with a benign cytology presented with a different diagnosis on a sequential FNA. Repeat FNA is a valuable procedure in cases with initial non-diagnostic or A/FLUS cytology, but its routine use for patients with an initial benign examination appears to not increase the expected likelihood of a malignant finding.
Subject: Adolescent
Aged, 80 And Over
Biopsy, Fine-needle
Cohort Studies
Diagnosis, Differential
Longitudinal Studies
Middle Aged
Retrospective Studies
Thyroid Gland
Thyroid Neoplasms
Thyroid Nodule
Young Adult
Biópsia Por Agulha Fina
Fine Needle Biopsy
Glândula Tireoide
Head And Neck Neoplasms
Neoplasias Da Glândula Tireoide
Neoplasias De Cabeça E Pescoço
Thyroid Gland
Thyroid Neoplasms
Citation: Brazilian Journal Of Otorhinolaryngology. v. 80, n. 5, p. 422-7
Rights: aberto
Identifier DOI: 10.1016/j.bjorl.2014.07.002
Appears in Collections:Unicamp - Artigos e Outros Documentos

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