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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Eilers, Stan G. LaPolice, Paula Mukunyadzi, Perkins Kapur, Umesh Wendel Spiczka, Amy Shah, Ajay Saleh, Husain Adeniran, Adebowale Nunez, Amberly Balachandran, Indra Clark, Jennifer J. Lemon, Larry |
| Description | Author Affiliation: Eilers SG ( Mercy Medical Center, Cedar Rapids, Iowa.) |
| Abstract | BACKGROUND: Fine-needle aspiration of the thyroid is a common procedure, with an established role in reducing unnecessary thyroid surgery and identifying neoplasms and malignancies. METHODS: The study evaluated 1558 responses in the American Society for Clinical Pathology (ASCP) Non-GYN Assessment program of aspirates of thyroid neoplasms and malignancies and placed them into the following groups: group A (target or correct interpretation), group B (incorrect interpretation as a benign thyroid nodule), group C (incorrect interpretation malignant aspirate as thyroid neoplasm), and group D (malignant diagnosis with incorrect interpretation). In clinical practice, responses in groups A, C, and D would lead to surgical excision, whereas responses in group B would not. RESULTS: Of a total of 1558 responses, 78.5% of the responses were in group A, 8.5% in group B, 3.75% in group C, and 9.25% in group D. By individual diagnosis, the group rates were 86.5%, 0%, 11%, and 2.5% for anaplastic thyroid carcinoma; 83%, 5.5%, 4.25%, and 7.25% for papillary thyroid carcinoma; 79%, 7%, 6%, and 8% for medullary thyroid carcinoma; 83.5% 6.75%, 0%, and 9.75% for Hürthle cell neoplasm; and 61%, 22%, 0%, and 17% for follicular neoplasm in groups A, B, C, and D respectively. CONCLUSIONS: Fine-needle aspiration was effective in diagnosing thyroid neoplasms and malignancies and in separating thyroid nodules into surgical and nonsurgical categories. Data from a large group of cytology professionals showed good performance; however, there is room for improvement, especially in making specific diagnoses. In particular, follicular neoplasm and follicular variant of papillary thyroid carcinoma were challenging diagnoses for participants. |
| File Format | HTM / HTML |
| ISSN | 1934662X |
| e-ISSN | 19346638 |
| DOI | 10.1002/cncy.21440 |
| Journal | Cancer Cytopathology |
| Issue Number | 10 |
| Volume Number | 122 |
| Language | English |
| Publisher | Wiley-Blackwell |
| Publisher Date | 2014-10-01 |
| Publisher Place | United States |
| Access Restriction | Open |
| Subject Keyword | Discipline Cytology Discipline Pathology Discipline Oncology Biopsy, Fine-needle Databases, Factual Thyroid Neoplasms Pathology Adenocarcinoma, Follicular Surgery Adenoma, Oxyphilic Carcinoma Carcinoma, Neuroendocrine Cytodiagnosis Diagnosis, Differential Immunohistochemistry Neoplasm Invasiveness Neoplasm Staging Risk Assessment Societies, Medical Diagnosis Thyroid Nodule Thyroidectomy Evaluation Studies |
| Content Type | Text |
| Resource Type | Article |
| Subject | Cancer Research Oncology |
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