Thyroid FNA performed by cytopathologists accompanied by radiologists guiding the ultrasound provide high-level quality results: A retrospective observational study
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1016/j.anndiagpath.2022.151912 http://hdl.handle.net/11449/231618 |
Resumo: | Background: On thyroid cytology, false negative and false positive rates are considered parameters for quality control. Nevertheless, there are few studies about medical professional involved in this procedure. We conducted a 4-year cytohistological correlation of thyroid specimens in a single institution. To describe cytological and histological correlation where radiologists guide the ultrasound (US) and cytopathologists perform the thyroid fine needle aspiration (FNA). Methods: Retrospective observational study of thyroid specimens in a Brazilian countryside setting. The ultrasound was performed by radiologists, and the FNA was performed by pathologists. All cases were reviewed by two pathologists following the Bethesda Reporting System for Reporting Thyroid Cytopathology and the World Health Organization's Classification of Tumours of Endocrine Organs. Clinical information, such as sex, age, location, and ultrasound data, was collected from our reports. Results: From a total of 3265 patients, 3703 nodules (391 patients showed more than one nodule) were submitted to FNA. For correlation, there were 168 surgical thyroidectomy specimens. The risk of malignancy for the Bethesda system categories were: nondiagnostic/unsatisfactory = 0/4 (0%); benign = 1/38 (2.6%); atypia of undetermined significance or follicular lesion of undetermined significance = 2/20 (10.0%); follicular neoplasm or suspicious for follicular neoplasm = 3/16 (18.7%); suspicious for malignancy = 63/67 (94.0%); and malignant = 22/23 (95.6%). Conclusion: High-level quality results can be accomplished with cooperation between cytopathologists performing thyroid FNA accompanied by radiologists guiding the ultrasound. |
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Thyroid FNA performed by cytopathologists accompanied by radiologists guiding the ultrasound provide high-level quality results: A retrospective observational studyBiopsyCytologyFine-needlePathologyQuality controlThyroid neoplasmsBackground: On thyroid cytology, false negative and false positive rates are considered parameters for quality control. Nevertheless, there are few studies about medical professional involved in this procedure. We conducted a 4-year cytohistological correlation of thyroid specimens in a single institution. To describe cytological and histological correlation where radiologists guide the ultrasound (US) and cytopathologists perform the thyroid fine needle aspiration (FNA). Methods: Retrospective observational study of thyroid specimens in a Brazilian countryside setting. The ultrasound was performed by radiologists, and the FNA was performed by pathologists. All cases were reviewed by two pathologists following the Bethesda Reporting System for Reporting Thyroid Cytopathology and the World Health Organization's Classification of Tumours of Endocrine Organs. Clinical information, such as sex, age, location, and ultrasound data, was collected from our reports. Results: From a total of 3265 patients, 3703 nodules (391 patients showed more than one nodule) were submitted to FNA. For correlation, there were 168 surgical thyroidectomy specimens. The risk of malignancy for the Bethesda system categories were: nondiagnostic/unsatisfactory = 0/4 (0%); benign = 1/38 (2.6%); atypia of undetermined significance or follicular lesion of undetermined significance = 2/20 (10.0%); follicular neoplasm or suspicious for follicular neoplasm = 3/16 (18.7%); suspicious for malignancy = 63/67 (94.0%); and malignant = 22/23 (95.6%). Conclusion: High-level quality results can be accomplished with cooperation between cytopathologists performing thyroid FNA accompanied by radiologists guiding the ultrasound.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)School of Medicine Centro Universitário Católico Unisalesiano Auxilium, São PauloInstituto de Patologia de Araçatuba (IPAT), São PauloSchool of Medicine São Paulo State University, São PauloSchool of Medicine São Paulo State University, São PauloFAPESP: 2021/00710-4Centro Universitário Católico Unisalesiano AuxiliumInstituto de Patologia de Araçatuba (IPAT)Universidade Estadual Paulista (UNESP)Borges, Felipe AbrantkoskiCamilo-Júnior, Deolino JoãoYamamoto, Fábio Massahito [UNESP]Xavier-Júnior, José Cândido C. [UNESP]2022-04-29T08:46:36Z2022-04-29T08:46:36Z2022-06-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1016/j.anndiagpath.2022.151912Annals of Diagnostic Pathology, v. 58.1532-81981092-9134http://hdl.handle.net/11449/23161810.1016/j.anndiagpath.2022.1519122-s2.0-85124737756Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengAnnals of Diagnostic Pathologyinfo:eu-repo/semantics/openAccess2022-04-29T08:46:36Zoai:repositorio.unesp.br:11449/231618Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T20:53:53.954257Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Thyroid FNA performed by cytopathologists accompanied by radiologists guiding the ultrasound provide high-level quality results: A retrospective observational study |
title |
Thyroid FNA performed by cytopathologists accompanied by radiologists guiding the ultrasound provide high-level quality results: A retrospective observational study |
spellingShingle |
Thyroid FNA performed by cytopathologists accompanied by radiologists guiding the ultrasound provide high-level quality results: A retrospective observational study Borges, Felipe Abrantkoski Biopsy Cytology Fine-needle Pathology Quality control Thyroid neoplasms |
title_short |
Thyroid FNA performed by cytopathologists accompanied by radiologists guiding the ultrasound provide high-level quality results: A retrospective observational study |
title_full |
Thyroid FNA performed by cytopathologists accompanied by radiologists guiding the ultrasound provide high-level quality results: A retrospective observational study |
title_fullStr |
Thyroid FNA performed by cytopathologists accompanied by radiologists guiding the ultrasound provide high-level quality results: A retrospective observational study |
title_full_unstemmed |
Thyroid FNA performed by cytopathologists accompanied by radiologists guiding the ultrasound provide high-level quality results: A retrospective observational study |
title_sort |
Thyroid FNA performed by cytopathologists accompanied by radiologists guiding the ultrasound provide high-level quality results: A retrospective observational study |
author |
Borges, Felipe Abrantkoski |
author_facet |
Borges, Felipe Abrantkoski Camilo-Júnior, Deolino João Yamamoto, Fábio Massahito [UNESP] Xavier-Júnior, José Cândido C. [UNESP] |
author_role |
author |
author2 |
Camilo-Júnior, Deolino João Yamamoto, Fábio Massahito [UNESP] Xavier-Júnior, José Cândido C. [UNESP] |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Centro Universitário Católico Unisalesiano Auxilium Instituto de Patologia de Araçatuba (IPAT) Universidade Estadual Paulista (UNESP) |
dc.contributor.author.fl_str_mv |
Borges, Felipe Abrantkoski Camilo-Júnior, Deolino João Yamamoto, Fábio Massahito [UNESP] Xavier-Júnior, José Cândido C. [UNESP] |
dc.subject.por.fl_str_mv |
Biopsy Cytology Fine-needle Pathology Quality control Thyroid neoplasms |
topic |
Biopsy Cytology Fine-needle Pathology Quality control Thyroid neoplasms |
description |
Background: On thyroid cytology, false negative and false positive rates are considered parameters for quality control. Nevertheless, there are few studies about medical professional involved in this procedure. We conducted a 4-year cytohistological correlation of thyroid specimens in a single institution. To describe cytological and histological correlation where radiologists guide the ultrasound (US) and cytopathologists perform the thyroid fine needle aspiration (FNA). Methods: Retrospective observational study of thyroid specimens in a Brazilian countryside setting. The ultrasound was performed by radiologists, and the FNA was performed by pathologists. All cases were reviewed by two pathologists following the Bethesda Reporting System for Reporting Thyroid Cytopathology and the World Health Organization's Classification of Tumours of Endocrine Organs. Clinical information, such as sex, age, location, and ultrasound data, was collected from our reports. Results: From a total of 3265 patients, 3703 nodules (391 patients showed more than one nodule) were submitted to FNA. For correlation, there were 168 surgical thyroidectomy specimens. The risk of malignancy for the Bethesda system categories were: nondiagnostic/unsatisfactory = 0/4 (0%); benign = 1/38 (2.6%); atypia of undetermined significance or follicular lesion of undetermined significance = 2/20 (10.0%); follicular neoplasm or suspicious for follicular neoplasm = 3/16 (18.7%); suspicious for malignancy = 63/67 (94.0%); and malignant = 22/23 (95.6%). Conclusion: High-level quality results can be accomplished with cooperation between cytopathologists performing thyroid FNA accompanied by radiologists guiding the ultrasound. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-04-29T08:46:36Z 2022-04-29T08:46:36Z 2022-06-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1016/j.anndiagpath.2022.151912 Annals of Diagnostic Pathology, v. 58. 1532-8198 1092-9134 http://hdl.handle.net/11449/231618 10.1016/j.anndiagpath.2022.151912 2-s2.0-85124737756 |
url |
http://dx.doi.org/10.1016/j.anndiagpath.2022.151912 http://hdl.handle.net/11449/231618 |
identifier_str_mv |
Annals of Diagnostic Pathology, v. 58. 1532-8198 1092-9134 10.1016/j.anndiagpath.2022.151912 2-s2.0-85124737756 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Annals of Diagnostic Pathology |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808129261696974848 |