ECE2015 Eposter Presentations Thyroid (non-cancer) (160 abstracts)
Should fine-needle aspiration biopsy perform all of nodules in patients with nodular goitre?
Sevilay Ozmen 1 , Ilknur Calik 1 , Hilal Balta 1 , Ozge Timur 2 , Ayse Carlioglu 3 , Hakan Sevimli 2 , Senay Arikan Durmaz 3 & Ali Kurt 1
1Department of Pathology, Training and Research Hospital, Erzurum, Turkey; 2Department of Internal Medicine, Training and Research Hospital, Erzurum, Turkey; 3Department of Endocrinology, Training and Research Hospital, Erzurum, Turkey.
Introduction and aim: Fine-needle aspiration (FNA) biopsy has become widely accepted as a reliable method for diagnosis of malign thyroid nodule. In our study we aimed to review results of thyroid FNA biopsy to be performed by same endocrinologist and compared to their histopathological results after thyroidectomy.
Materials and methods: This retrospective study was done at the department of pathology for a period of 2 years from 2012 to 2014. The 401 patients applied to our Endocrinology Department due to solitary or multinodular goitre was included the study. Ultrasonography guide was used in all of FNA. FNA findings according to Bethesda classification were compared with corresponding histopathology findings, obtained with thyroidectomy specimens.
Results: After thyroidectomy, we determined that eight women (mean age 50.7±6.8 years) of 401 patients with nodular goitre had papillary thyroid cancer in a cross thyroidal lob which FNA was not made, although finding of FNA was benign at one thyroid lob which FNA was made. Moreover, multicentric papillary thyroid cancer was found in two of them after thyroidectomy.
Conclusions: Our landmark finding point out that FNA should be performed all of suspicious nodule rather than dominant nodule. On the other hand multicentric papillary thyroid cancer are still a problem, although, FNA is widely used for evaluate cytology of nodules.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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