[repeated Fine-needle Aspiration Cytology For The Diagnosis And Follow-up Of Thyroid Nodules].

dc.creatorGraciano, Agnaldo José
dc.creatorChone, Carlos Takahiro
dc.creatorFischer, Carlos Augusto
dc.creatorBublitz, Giuliano Stefanello
dc.creatorPeixoto, Ana Jacinta de Aquino
dc.date
dc.date2015-11-27T13:43:34Z
dc.date2015-11-27T13:43:34Z
dc.date.accessioned2018-03-29T01:22:17Z
dc.date.available2018-03-29T01:22:17Z
dc.identifierBrazilian Journal Of Otorhinolaryngology. v. 80, n. 5, p. 422-7
dc.identifier1808-8686
dc.identifier10.1016/j.bjorl.2014.07.002
dc.identifierhttp://www.ncbi.nlm.nih.gov/pubmed/25303818
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/201794
dc.identifier25303818
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1302027
dc.descriptionThe recently-proposed Bethesda reporting system has offered clinical recommendations for each category of reported thyroid cytology, including repeated fine-needle aspiration (FNA) for non-diagnostic and atypia/follicular lesions of undetermined significance, but there are no sound indications for repeated examination after an initial benign exam. To investigate the clinical validity of repeated FNA in the management of patients with thyroid nodules. The present study evaluated 412 consecutive patients who had repeated aspiration biopsies of thyroid nodules after an initial non-diagnostic, atypia/follicular lesion of undetermined significance, or benign cytology. The majority of patients were female (93.5%) ranging from 13 to 83 years. Non-diagnostic cytology was the most common indication for a repeated examination in 237 patients (57.5%), followed by benign (36.8%), and A/FLUS (5.6%) cytology. A repeated examination altered the initial diagnosis in 70.5% and 78.3% of the non-diagnostic and A/FLUS patients, respectively, whereas only 28.9% of patients with a benign cytology presented with a different diagnosis on a sequential FNA. Repeat FNA is a valuable procedure in cases with initial non-diagnostic or A/FLUS cytology, but its routine use for patients with an initial benign examination appears to not increase the expected likelihood of a malignant finding.
dc.description80
dc.description422-7
dc.languagepor
dc.relationBrazilian Journal Of Otorhinolaryngology
dc.relationBraz J Otorhinolaryngol
dc.rightsaberto
dc.rightsCopyright © 2014 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved.
dc.sourcePubMed
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAged
dc.subjectAged, 80 And Over
dc.subjectBiopsy, Fine-needle
dc.subjectCohort Studies
dc.subjectDiagnosis, Differential
dc.subjectFemale
dc.subjectHumans
dc.subjectLongitudinal Studies
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectRetrospective Studies
dc.subjectThyroid Gland
dc.subjectThyroid Neoplasms
dc.subjectThyroid Nodule
dc.subjectYoung Adult
dc.subjectBiópsia Por Agulha Fina
dc.subjectFine Needle Biopsy
dc.subjectGlândula Tireoide
dc.subjectHead And Neck Neoplasms
dc.subjectNeoplasias Da Glândula Tireoide
dc.subjectNeoplasias De Cabeça E Pescoço
dc.subjectThyroid Gland
dc.subjectThyroid Neoplasms
dc.title[repeated Fine-needle Aspiration Cytology For The Diagnosis And Follow-up Of Thyroid Nodules].
dc.typeArtículos de revistas


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