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World Journal of Surgery
Erschienen in: World Journal of Surgery 4/2010

01.04.2010

A Systematic Review of Cases Reporting Needle Tract Seeding Following Thyroid Fine Needle Biopsy

verfasst von: Stergios A. Polyzos, Athanasios D. Anastasilakis

Erschienen in: World Journal of Surgery | Ausgabe 4/2010

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Abstract

Background

Because of its accuracy and cost-effectiveness, thyroid fine needle biopsy (FNB) is the procedure of choice in the preoperative management of thyroid nodules. Needle tract seeding (NTS) has been a concern since the earliest days of FNB, contributing to the delayed acceptance of FNB as a safe procedure. In this review we tried to systematically record all reports of NTS after diagnostic thyroid FNB and provide useful hints to minimize the risk of NTS.

Methods

Computerized advanced search for primary evidence was performed in the PubMed (Public/Publisher Medline) electronic database. The search was not limited by publication time or English language.

Results

Ten relevant articles were found: eight case reports, one case in a surgical series, and one retrospective observational study.

Conclusions

Despite initial concerns about the risk of NTS, FNB is now considered to be a safe procedure. Although proper FNB technique can reduce its risk, NTS is an unavoidable complication of FNB, which clinicians should be aware of. However, the incidence of NTS is low and it doesn’t seem to affect the prognosis because the seedings can be surgically removed without recurrence. The management of the thyroid nodules is to-date based on FNB, and the benefits from FNB (elimination of needless imaging and surgery) far outweigh the potential risk for NTS.
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Metadaten
Titel
A Systematic Review of Cases Reporting Needle Tract Seeding Following Thyroid Fine Needle Biopsy
verfasst von
Stergios A. Polyzos
Athanasios D. Anastasilakis
Publikationsdatum
01.04.2010
Verlag
Springer-Verlag
Erschienen in
World Journal of Surgery / Ausgabe 4/2010
Print ISSN: 0364-2313
Elektronische ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-009-0362-2

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