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Correlation between thyroid fine needle aspiration and pathological examination: a 10 year retrospective study
Silva, Rodrigo Ribeiro e; Borges, Vinicius Ribas de Abreu; Jardim, Alexandre Grunfeld Starling; Volpi, Maria Luisa Hostin; Pope, Leonora Zozula Blind; Medeiros, Manuella Zattar.
Afiliación
  • Silva, Rodrigo Ribeiro e; Universidade da Região de Joinville. Department of Medicine. Joinville. BR
  • Borges, Vinicius Ribas de Abreu; Universidade da Região de Joinville. Department of Medicine. Joinville. BR
  • Jardim, Alexandre Grunfeld Starling; Universidade da Região de Joinville. Department of Medicine. Joinville. BR
  • Volpi, Maria Luisa Hostin; Universidade da Região de Joinville. Department of Medicine. Joinville. BR
  • Pope, Leonora Zozula Blind; Universidade da Região de Joinville. Department of Medicine. Joinville. BR
  • Medeiros, Manuella Zattar; Hospital Dona Helena. Pathological Anatomy Laboratory. Joinville. BR
Einstein (São Paulo, Online) ; 21: eAO0418, 2023. tab, graf
Article en En | LILACS-Express | LILACS | ID: biblio-1528568
Biblioteca responsable: BR1.1
ABSTRACT
ABSTRACT Objective To establish the diagnostic performance of fine-needle aspiration in detecting benign and malignant neoplasm in comparison with post-thyroidectomy histopathological findings among patients who received a thyroidectomy. Methods Retrospective observational data collected between 2011-2021 were included from patients who received partial or total thyroidectomy. The Bethesda system was used to classify neoplasms from fine-needle aspiration procedures as benign or malignant. Sample characteristics, diagnostic accuracy, sensitivity, specificity, and predictive values were evaluated. Results Patients (n=360) who underwent thyroidectomy were analyzed, of whom 142 (39.4%) and 218 (60.6%) had benign and malignant neoplasms, respectively. Using the Bethesda system, 23 (6.4%) were classified as unsatisfactory result (BI), 83 (23.1%) as benign (BII), 50 (13.9%) as atypia of undetermined significance (BIII), 23 (6.4%) as suspected follicular or Hürthle cell neoplasia (BIV), 102 (28.3%) as suspected malignancy (BV) and 79 (21.9%) as malignant (BVI). The fine-needle aspiration diagnostic accuracy for carcinomas was 92%, while the sensitivity and specificity were 94.4% and 86.9%, respectively. The negative and positive predictive values were 87.9% and 93.9%, respectively. Conclusion Fine-needle aspiration has high diagnostic accuracy, sensitivity and specificity, and is a reliable test for distinguishing between benign and malignant thyroid pathologies.
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Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: Einstein (São Paulo, Online) Asunto de la revista: Medicina Año: 2023 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: Einstein (São Paulo, Online) Asunto de la revista: Medicina Año: 2023 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil