Evaluation of Thyroid Fine Needle Aspiration Biopsy Results: A Single Center Experience

Year 2023, , 34 - 38, 21.06.2023

Baris Karagün

https://doi.org/10.30565/medalanya.1191153

Abstract

Aim: It was aimed to examine the results of thyroid fine needle aspiration (FNA) biopsy performed in our clinic and to investigate its effectiveness.

Methods: In this study, the results of 101 patients who underwent thyroid FNAB in Tarsus State Hospital endocrinology clinic between December 2021 and July 2022 were retrospectively analyzed.

Results: Ultrasonographic features of thyroid nodules were classified according to EU-TIRADS, 51(50.5%) were in EU-TIRADS-3, 31 (30.7%) were in EU-TIRADS-4, 19(18.8%) were in EU-TIRADS-5. When we categorize cytology results according to Bethesda classification, 23 (22.8%) Bethesda I, 48 (47.5%) Bethesda II, 16 (15.8%) Bethesda III, 4(4%) Bethesda IV,10(9.9%) detected as Bethesda VI. Bethesda II was found in the EU-TIRADS-3 category with the highest frequency, while Bethesda VI was found in the EU-TIRADS-5 category with the highest frequency. The mean nodule diameter was found to be 20.48± 9.73mm.

Conclusion: Ultrasonographic findings of the nodules correlated with cytology results. The EU-TIRADS categorization has a good concordance with the Bethesda system. The coordinated use of the two classifications helps the clinician to avoid the risk of unnecessary invasive procedures.

Keywords

Byopsy, Thyroid Nodule, Ultrasonography

Tiroid İnce İğne Aspirasyon Biyopsi Sonuçlarının Değerlendirilmesi: Tek Merkez Deneyimi

Abstract

Amaç: Kliniğimizde yapılan tiroid ince iğne aspirasyon biyopsi (İİAB) sonuçlarımızı inceleyip etkinliğini araştırmak amaçlandı.

Yöntem: Bu çalışmada Aralık 2021 -Temmuz 2022 tarihleri arasında Tarsus Devlet Hastanesi Endokrinoloji Kliniğinde tiroid İİAB yapılan 101 hastanın sonuçları retrospektif olarak incelendi.

Bulgular: Tiroid nodüllerinin ultrasonografik özelikleri EU-TIRADS’a göre sınıflandırıldığında 51(50.5%)’i EU-TIRADS-3, 31 (30.7%)’i EU-TIRADS-4, 19(18.8%)’u EU-TIRADS-5 kategorisindeydi. Sitoloji sonuçlarını Bethesda sınıflamasına göre kategorize ettiğimizde ise 23 (22.8%)’ü Bethesda I, 48 (47.5%)’i Bethesda II, 16(15.8%)’sı Bethesda III, 4(4%)’ü Bethesda IV, 10(9.9%)’si Bethesda VI olarak tespit edildi. Bethesda II en yüksek frekans ile EU-TIRADS-3 kategoride saptanırken Bethesda VI ise en yüksek frekans ile EU-TIRADS-5 kategoride yer aldı. Ortalama nodul çapı 20.48± 9.73 mm olarak bulundu.

Sonuç: Nodüllerin ultrasonografik bulguları sitoloji sonuçları ile korelasyon göstermiştir. EU-TIRADS sınıflandırması, Bethesda sistemi ile iyi bir uyum içindedir. İki sınıflamanın koordineli kullanılması, klinisyene gereksiz invaziv prosedür riskinden kaçınmak için yardımcı olmaktadır.

Keywords

Biyopsi, Tiroid nodülü, Ultrasonografi

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