Accuracy of intraoperative consultation in thyroid nodules: analysis of 2,040 cases performed at Instituto Nacional de Câncer in 12 years
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Jornal Brasileiro de Patologia e Medicina Laboratorial (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442015000500329 |
Resumo: | ABSTRACTIntroduction:The thyroid nodule is the most common clinical manifestation of thyroid diseases, and, among the procedures for its diagnosis, cytological examination is the most used. Due to the high accuracy of cytological examination, the value of intraoperative consultation (IOC) has become a matter of controversy. IOC is one of the most important and difficult procedures that a pathologist adopts, enabling the patient to be diagnosed, treated and staged in the same intervention.Objective:To evaluate the accuracy of IOC in thyroid at Instituto Nacional de Câncer (Inca).Methods:This study analyzed IOC in thyroid held in Inca from January 2001 to December 2012. The IOC diagnosis was compared with the histopathologic diagnosis, considered the gold standard, and was classified as concordant, discordant and indeterminate. From these data we calculated sensitivity, specificity and accuracy.Results:Among the 2,040 held IOCs, diagnoses were concordant in 1,770 cases (87%), discordant in 45 (2%) and indeterminate in 225 (11%). Among the 1,770 concordant cases, 1,252 (61%) were true negative, and 518 (25%), true positive. Among the 45 discordant cases, 38 (2%) were false negative, and seven (0,3%), false positive. The test sensitivity was 0.94%, specificity of 0.99% and accuracy of 0.97%.Conclusion:Our results indicate that IOC in thyroid is a highly accurate test, contributing to the surgical conduct. |
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Accuracy of intraoperative consultation in thyroid nodules: analysis of 2,040 cases performed at Instituto Nacional de Câncer in 12 yearsthyroid neoplasmsdimensional measurement accuracyfrozen sectionspathologyABSTRACTIntroduction:The thyroid nodule is the most common clinical manifestation of thyroid diseases, and, among the procedures for its diagnosis, cytological examination is the most used. Due to the high accuracy of cytological examination, the value of intraoperative consultation (IOC) has become a matter of controversy. IOC is one of the most important and difficult procedures that a pathologist adopts, enabling the patient to be diagnosed, treated and staged in the same intervention.Objective:To evaluate the accuracy of IOC in thyroid at Instituto Nacional de Câncer (Inca).Methods:This study analyzed IOC in thyroid held in Inca from January 2001 to December 2012. The IOC diagnosis was compared with the histopathologic diagnosis, considered the gold standard, and was classified as concordant, discordant and indeterminate. From these data we calculated sensitivity, specificity and accuracy.Results:Among the 2,040 held IOCs, diagnoses were concordant in 1,770 cases (87%), discordant in 45 (2%) and indeterminate in 225 (11%). Among the 1,770 concordant cases, 1,252 (61%) were true negative, and 518 (25%), true positive. Among the 45 discordant cases, 38 (2%) were false negative, and seven (0,3%), false positive. The test sensitivity was 0.94%, specificity of 0.99% and accuracy of 0.97%.Conclusion:Our results indicate that IOC in thyroid is a highly accurate test, contributing to the surgical conduct.Sociedade Brasileira de Patologia Clínica2015-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442015000500329Jornal Brasileiro de Patologia e Medicina Laboratorial v.51 n.5 2015reponame:Jornal Brasileiro de Patologia e Medicina Laboratorial (Online)instname:Sociedade Brasileira de Patologia (SBP)instacron:SBP10.5935/1676-2444.20150053info:eu-repo/semantics/openAccessFonseca,Theresinha C.Eisenberg,Ana Lúcia A.Araújo Jr.,Mário Lúcio C.eng2015-11-10T00:00:00Zoai:scielo:S1676-24442015000500329Revistahttp://www.scielo.br/jbpmlhttps://old.scielo.br/oai/scielo-oai.php||jbpml@sbpc.org.br1678-47741676-2444opendoar:2015-11-10T00:00Jornal Brasileiro de Patologia e Medicina Laboratorial (Online) - Sociedade Brasileira de Patologia (SBP)false |
dc.title.none.fl_str_mv |
Accuracy of intraoperative consultation in thyroid nodules: analysis of 2,040 cases performed at Instituto Nacional de Câncer in 12 years |
title |
Accuracy of intraoperative consultation in thyroid nodules: analysis of 2,040 cases performed at Instituto Nacional de Câncer in 12 years |
spellingShingle |
Accuracy of intraoperative consultation in thyroid nodules: analysis of 2,040 cases performed at Instituto Nacional de Câncer in 12 years Fonseca,Theresinha C. thyroid neoplasms dimensional measurement accuracy frozen sections pathology |
title_short |
Accuracy of intraoperative consultation in thyroid nodules: analysis of 2,040 cases performed at Instituto Nacional de Câncer in 12 years |
title_full |
Accuracy of intraoperative consultation in thyroid nodules: analysis of 2,040 cases performed at Instituto Nacional de Câncer in 12 years |
title_fullStr |
Accuracy of intraoperative consultation in thyroid nodules: analysis of 2,040 cases performed at Instituto Nacional de Câncer in 12 years |
title_full_unstemmed |
Accuracy of intraoperative consultation in thyroid nodules: analysis of 2,040 cases performed at Instituto Nacional de Câncer in 12 years |
title_sort |
Accuracy of intraoperative consultation in thyroid nodules: analysis of 2,040 cases performed at Instituto Nacional de Câncer in 12 years |
author |
Fonseca,Theresinha C. |
author_facet |
Fonseca,Theresinha C. Eisenberg,Ana Lúcia A. Araújo Jr.,Mário Lúcio C. |
author_role |
author |
author2 |
Eisenberg,Ana Lúcia A. Araújo Jr.,Mário Lúcio C. |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Fonseca,Theresinha C. Eisenberg,Ana Lúcia A. Araújo Jr.,Mário Lúcio C. |
dc.subject.por.fl_str_mv |
thyroid neoplasms dimensional measurement accuracy frozen sections pathology |
topic |
thyroid neoplasms dimensional measurement accuracy frozen sections pathology |
description |
ABSTRACTIntroduction:The thyroid nodule is the most common clinical manifestation of thyroid diseases, and, among the procedures for its diagnosis, cytological examination is the most used. Due to the high accuracy of cytological examination, the value of intraoperative consultation (IOC) has become a matter of controversy. IOC is one of the most important and difficult procedures that a pathologist adopts, enabling the patient to be diagnosed, treated and staged in the same intervention.Objective:To evaluate the accuracy of IOC in thyroid at Instituto Nacional de Câncer (Inca).Methods:This study analyzed IOC in thyroid held in Inca from January 2001 to December 2012. The IOC diagnosis was compared with the histopathologic diagnosis, considered the gold standard, and was classified as concordant, discordant and indeterminate. From these data we calculated sensitivity, specificity and accuracy.Results:Among the 2,040 held IOCs, diagnoses were concordant in 1,770 cases (87%), discordant in 45 (2%) and indeterminate in 225 (11%). Among the 1,770 concordant cases, 1,252 (61%) were true negative, and 518 (25%), true positive. Among the 45 discordant cases, 38 (2%) were false negative, and seven (0,3%), false positive. The test sensitivity was 0.94%, specificity of 0.99% and accuracy of 0.97%.Conclusion:Our results indicate that IOC in thyroid is a highly accurate test, contributing to the surgical conduct. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442015000500329 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442015000500329 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.5935/1676-2444.20150053 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Patologia Clínica |
publisher.none.fl_str_mv |
Sociedade Brasileira de Patologia Clínica |
dc.source.none.fl_str_mv |
Jornal Brasileiro de Patologia e Medicina Laboratorial v.51 n.5 2015 reponame:Jornal Brasileiro de Patologia e Medicina Laboratorial (Online) instname:Sociedade Brasileira de Patologia (SBP) instacron:SBP |
instname_str |
Sociedade Brasileira de Patologia (SBP) |
instacron_str |
SBP |
institution |
SBP |
reponame_str |
Jornal Brasileiro de Patologia e Medicina Laboratorial (Online) |
collection |
Jornal Brasileiro de Patologia e Medicina Laboratorial (Online) |
repository.name.fl_str_mv |
Jornal Brasileiro de Patologia e Medicina Laboratorial (Online) - Sociedade Brasileira de Patologia (SBP) |
repository.mail.fl_str_mv |
||jbpml@sbpc.org.br |
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1752122296329306112 |