Erschienen in:
30.10.2017 | Head and Neck Oncology
Factors Influencing the Decision on Surgery or Observation for Patients with Bethesda Category 3 (AUS/FLUS)
verfasst von:
Bekir Kuru, MD, FACS
Erschienen in:
Annals of Surgical Oncology
|
Sonderheft 3/2017
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Excerpt
The Bethesda System for Reporting Thyroid Cytopathology (BSRTC) proposes a repeated fine-needle aspiration (FNA) for nodules with atypia of undetermined significance or a follicular lesion of undetermined significance (AUS/FLUS) on the initial FNA.
1 Cibas and Ali
1 reported that to increase the diagnostic accuracy of the AUS/FLUS FNA category and to prevent unnecessary surgery, two approaches have been proposed. The recommended management is clinical correlation and a repeated FNA at an appropriate interval.
1 – 3 In some cases, the physician may choose not to repeat the FNA but to observe the nodule clinically or, alternatively, to refer the patient for surgery because of concerning clinical and/or sonographic features.
1 Thus, determination of sonographic features associated for surgery or observation is important. …