ECE2016 Eposter Presentations Thyroid cancer (81 abstracts)
Accuracy of fine-needle aspiration biopsy in Albanian experience
Ersida Golemi 1, , Dorina Ylli 1, , Mehdi Alimehmeti 1, , Gerond Hysi 2 , Ermir Nelaj 4 , Edi Spahiu 5 & Agron Ylli 1,
1Service of Endocrinology, Diabetes and Metabolic Diseases, University Hospital Center “Mother Teresa”, Tirana, Albania; 2Neostyle Clinic, Tirana, Albania; 3Service of Anatomo-Pathology, University Hospital Center “Mother Teresa”, Tirana, Albania; 4Regional Hospital of Shkodra, Shkoder, Albania; 5Regional Hospital of Durres, Durres, Albania.
Background: Fine-needle aspiration biopsy (FNAB) is the gold standard in detecting thyroid cancer. The overall incidence of thyroid cancer is 9–13% in patients with thyroid nodule that are eligible for FNAB. If the sample taken is sufficient, a negative FNA-B response eliminates the carcinoma risk in 98–99% of cases.
The aim of the study: To access the role of FNAB in the early diagnosis of thyroid cancer in Albania.
Materials and methods: This is a retrospective study involving 65 patients with thyroid cancer from 2008–2015. All patient performed FNAB under ultrasonography, before surgery. Age, gender, ultrasound characteristics, FNAB and post-surgery biopsy were studied.
Results: FNAB results: 42% was positive, 35% was indeterminate and 23% was negative.
The study revealed that 15 of 65 patients with thyroid cancer had a negative response to cytoponction. In cases with negative FNAB, post-surgery biopsy revealed 13 cases with papillary carcinoma, 2 cases with follicular carcinoma, no cases with anaplastic or medullar carcinoma.
Conclusion: The study showed that, suspicious or positive cytology should be evaluated for surgery. According to our results, since a negative FNAB response does not exclude the possibility of cancer, an attentive evaluation of the FNAB result and ultrasound pattern in very important before a pre operatory diagnosis.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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