Skip to main content
Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery 1/2019

18.08.2017 | Original Article

Reliability of Thyroid FNAC as a Single Diagnostic Modality: A Systematic Review

verfasst von: Jayita Poduval, Vinay Bhat, Paresh Naik

Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery | Sonderheft 1/2019

Einloggen, um Zugang zu erhalten

Abstract

To determine the reliability of thyroid FNAC as a single diagnostic modality in the case of nodular neoplastic lesions of the thyroid. Multiple databases were searched using the MESH terms thyroid*lesion*nodule*neoplasm*fine needle aspiration*histopathology*correlation. Meta analyses, RCTs, cohort or case control studies and case series were searched. 61 studies were examined to verify the search results after applying the inclusion and exclusion criteria. 422 studies were excluded after the first screening, leaving 61 full text articles. These were further analyzed for outcomes, and ultimately 9 studies were chosen for the final synthesis on the basis of clear recommendations given. FNAC as a single modality for the diagnosis of nodular neoplastic thyroid lesions is highly variable and therefore unreliable. The diagnostic yield may be improved if the Bethesda system of reporting is applied.
Literatur
1.
Zurück zum Zitat Musani MA, Khan FA, Malik S, Khambaty Y (2011) Fine needle aspiration cytology: sensitivity and specificity in thyroid lesions. J Ayub Med Coll Abbottabad 23(1):34–36PubMed Musani MA, Khan FA, Malik S, Khambaty Y (2011) Fine needle aspiration cytology: sensitivity and specificity in thyroid lesions. J Ayub Med Coll Abbottabad 23(1):34–36PubMed
2.
Zurück zum Zitat Moon H, Jung E, Park S et al (2007) Role of ultrasonography in predicting malignancy in patients with thyroid nodules. World J Surg 31:1410CrossRef Moon H, Jung E, Park S et al (2007) Role of ultrasonography in predicting malignancy in patients with thyroid nodules. World J Surg 31:1410CrossRef
3.
Zurück zum Zitat Lang BH, Lo CY, Chan WF, Lam KY, Wan KY (2007) Staging systems for papillary thyroid carcinoma: a review and comparison. Ann Surg 245(3):366–378CrossRef Lang BH, Lo CY, Chan WF, Lam KY, Wan KY (2007) Staging systems for papillary thyroid carcinoma: a review and comparison. Ann Surg 245(3):366–378CrossRef
4.
Zurück zum Zitat Stojadinovic A, Peoples GE, Libutti SK et al (2009) Development of a clinical decision model for thyroid nodules. BMC Surg 9:12CrossRef Stojadinovic A, Peoples GE, Libutti SK et al (2009) Development of a clinical decision model for thyroid nodules. BMC Surg 9:12CrossRef
5.
Zurück zum Zitat Renuka IV, Bala GS, Aparna C, Kumari R, Sumalatha K (2012) The Bethesda system for reporting thyroid cytopathology: interpretation and guidelines in surgical treatment. Indian J Otolaryngol Head Neck Surg 64(4):305–311CrossRef Renuka IV, Bala GS, Aparna C, Kumari R, Sumalatha K (2012) The Bethesda system for reporting thyroid cytopathology: interpretation and guidelines in surgical treatment. Indian J Otolaryngol Head Neck Surg 64(4):305–311CrossRef
6.
Zurück zum Zitat Renshaw AA, Gould EW (2015) Reducing indeterminate thyroid FNAs. Cancer Cytopathol 123(4):237–243CrossRef Renshaw AA, Gould EW (2015) Reducing indeterminate thyroid FNAs. Cancer Cytopathol 123(4):237–243CrossRef
7.
Zurück zum Zitat Bongiovanni M, Spitale A, Faquin WC, Mazzucchelli L, Baloch ZW (2012) The Bethesda system for reporting thyroid cytopathology: a meta-analysis. Acta Cytol 56(4):333–339CrossRef Bongiovanni M, Spitale A, Faquin WC, Mazzucchelli L, Baloch ZW (2012) The Bethesda system for reporting thyroid cytopathology: a meta-analysis. Acta Cytol 56(4):333–339CrossRef
8.
Zurück zum Zitat Mondal SK, Sinha S, Basak B, Roy DN, Sinha SK (2013) The Bethesda system for reporting thyroid fine needle aspirates: a cytologic study with histologic follow-up. J Cytol 30(2):94–99CrossRef Mondal SK, Sinha S, Basak B, Roy DN, Sinha SK (2013) The Bethesda system for reporting thyroid fine needle aspirates: a cytologic study with histologic follow-up. J Cytol 30(2):94–99CrossRef
9.
Zurück zum Zitat Mehra P, Verma AK (2015) Thyroid cytopathology reporting by the Bethesda system: a two-year prospective study in an academic institution. Pathol Res Int 240505:1–11CrossRef Mehra P, Verma AK (2015) Thyroid cytopathology reporting by the Bethesda system: a two-year prospective study in an academic institution. Pathol Res Int 240505:1–11CrossRef
10.
Zurück zum Zitat Muratli A, Erdogan N, Sevim S, Unal I, Akyuz S (2014) Diagnostic efficacy and importance of fine-needle aspiration cytology of thyroid nodules. J Cytol 31:73–78CrossRef Muratli A, Erdogan N, Sevim S, Unal I, Akyuz S (2014) Diagnostic efficacy and importance of fine-needle aspiration cytology of thyroid nodules. J Cytol 31:73–78CrossRef
11.
Zurück zum Zitat Arul P, Masilamani S (2015) A correlative study of solitary thyroid nodules using the Bethesda system for reporting thyroid cytopathology. J Can Res Ther 11:617–622CrossRef Arul P, Masilamani S (2015) A correlative study of solitary thyroid nodules using the Bethesda system for reporting thyroid cytopathology. J Can Res Ther 11:617–622CrossRef
12.
Zurück zum Zitat Ugurluoglu C, Dobur F, Karabagli P, Celik ZE (2015) Fine needle aspiration biopsy of thyroid nodules: cytologic and histopathologic correlation of 1096 patients. Int J Clin Exp Pathol 8(11):14800–14805PubMedPubMedCentral Ugurluoglu C, Dobur F, Karabagli P, Celik ZE (2015) Fine needle aspiration biopsy of thyroid nodules: cytologic and histopathologic correlation of 1096 patients. Int J Clin Exp Pathol 8(11):14800–14805PubMedPubMedCentral
13.
Zurück zum Zitat Güneş P, Demirtürk P, Aker F, Tanrıöver Ö, Gönültaş A, Akkaynak Ş (2015) Evaluation of fine-needle aspiration of thyroid nodules in a series of 1,100 patients: correlation between cytology and histopathology. Indian J Surg 77(Suppl 3):990–995CrossRef Güneş P, Demirtürk P, Aker F, Tanrıöver Ö, Gönültaş A, Akkaynak Ş (2015) Evaluation of fine-needle aspiration of thyroid nodules in a series of 1,100 patients: correlation between cytology and histopathology. Indian J Surg 77(Suppl 3):990–995CrossRef
14.
Zurück zum Zitat Cibas ES, Ali SZ (2009) The Bethesda system for reporting thyroid cytopathology. Am J Clin Pathol 132:658–665CrossRef Cibas ES, Ali SZ (2009) The Bethesda system for reporting thyroid cytopathology. Am J Clin Pathol 132:658–665CrossRef
15.
Zurück zum Zitat Cappelli C, Tironi A, Pirola I et al (2008) Spinal needle improves diagnostic cytological specimens of thyroid nodules. J Endocrinol Invest 31:25CrossRef Cappelli C, Tironi A, Pirola I et al (2008) Spinal needle improves diagnostic cytological specimens of thyroid nodules. J Endocrinol Invest 31:25CrossRef
16.
Zurück zum Zitat Santos JE, Leiman G (1988) Nonaspiration fine needle cytology: application of a new technique to nodular thyroid disease. Acta Cytol 32:353–356PubMed Santos JE, Leiman G (1988) Nonaspiration fine needle cytology: application of a new technique to nodular thyroid disease. Acta Cytol 32:353–356PubMed
17.
Zurück zum Zitat Mahony GT, Mahony BS (2013) Low nondiagnostic rate for fine-needle capillary sampling biopsy of thyroid nodules: a singular experience. J Ultrasound Med 32(12):2155–2161CrossRef Mahony GT, Mahony BS (2013) Low nondiagnostic rate for fine-needle capillary sampling biopsy of thyroid nodules: a singular experience. J Ultrasound Med 32(12):2155–2161CrossRef
18.
Zurück zum Zitat Graciano AJ, Chone CT, Fischer CA, Bublitz GS, Peixoto AJ (2014) Repeated fine-needle aspiration cytology for the diagnosis and follow-up of thyroid nodules. Braz J Otorhinolaryngol 80:422–427CrossRef Graciano AJ, Chone CT, Fischer CA, Bublitz GS, Peixoto AJ (2014) Repeated fine-needle aspiration cytology for the diagnosis and follow-up of thyroid nodules. Braz J Otorhinolaryngol 80:422–427CrossRef
19.
Zurück zum Zitat Brooks AD, Shaha AR, DuMornay W, Huvos AG, Zakowski M, Brennan MF, Shah J (2001) Role of fine-needle aspiration biopsy and frozen section analysis in the surgical management of thyroid tumors. Ann Surg Oncol 8(2):92–100CrossRef Brooks AD, Shaha AR, DuMornay W, Huvos AG, Zakowski M, Brennan MF, Shah J (2001) Role of fine-needle aspiration biopsy and frozen section analysis in the surgical management of thyroid tumors. Ann Surg Oncol 8(2):92–100CrossRef
20.
Zurück zum Zitat Mazeh H, Greenstein A, Swedish K, Arora S, Hermon H, Ariel I, Divino C, Freund HR, Weber K (2009) From Mount Sinai to Mount Scopus: differences in the role and value of fine needle aspiration for evaluating thyroid nodules. Isr Med Assoc J 11(5):291–295PubMed Mazeh H, Greenstein A, Swedish K, Arora S, Hermon H, Ariel I, Divino C, Freund HR, Weber K (2009) From Mount Sinai to Mount Scopus: differences in the role and value of fine needle aspiration for evaluating thyroid nodules. Isr Med Assoc J 11(5):291–295PubMed
21.
Zurück zum Zitat Guevara N, Lassalle S, Benaim G, Sadoul JL, Santini J, Hofman P (2015) Role of frozen section analysis in nodular thyroid pathology. Eur Ann Otorhinolaryngol Head Neck Dis 132(2):67–70CrossRef Guevara N, Lassalle S, Benaim G, Sadoul JL, Santini J, Hofman P (2015) Role of frozen section analysis in nodular thyroid pathology. Eur Ann Otorhinolaryngol Head Neck Dis 132(2):67–70CrossRef
22.
Zurück zum Zitat Borget I, Vielh P, Leboulleux S, Allyn M, Iacobelli S, Schlumberger M, de Pouvourville G (2008) Assessment of the cost of fine-needle aspiration cytology as a diagnostic tool in patients with thyroid nodules. Am J Clin Pathol 129(5):763–771CrossRef Borget I, Vielh P, Leboulleux S, Allyn M, Iacobelli S, Schlumberger M, de Pouvourville G (2008) Assessment of the cost of fine-needle aspiration cytology as a diagnostic tool in patients with thyroid nodules. Am J Clin Pathol 129(5):763–771CrossRef
23.
Zurück zum Zitat Afolabi AO, Oluwasola AO, Akute OO, Akang EEU, Ogundiran TO, Ogunbiyi JO, Irabor DO (2010) Review of fine needle aspiration cytology in the management of goitres in Ibadan, Nigeria. Niger J Clin Pract 13(2):163–166PubMed Afolabi AO, Oluwasola AO, Akute OO, Akang EEU, Ogundiran TO, Ogunbiyi JO, Irabor DO (2010) Review of fine needle aspiration cytology in the management of goitres in Ibadan, Nigeria. Niger J Clin Pract 13(2):163–166PubMed
24.
Zurück zum Zitat Watkinson JC, British Thyroid Association (2004) The British Thyroid Association guidelines for the management of thyroid cancer in adults. Nucl Med Commun 25(9):897–900 Watkinson JC, British Thyroid Association (2004) The British Thyroid Association guidelines for the management of thyroid cancer in adults. Nucl Med Commun 25(9):897–900
Metadaten
Titel
Reliability of Thyroid FNAC as a Single Diagnostic Modality: A Systematic Review
verfasst von
Jayita Poduval
Vinay Bhat
Paresh Naik
Publikationsdatum
18.08.2017
Verlag
Springer India
Erschienen in
Indian Journal of Otolaryngology and Head & Neck Surgery / Ausgabe Sonderheft 1/2019
Print ISSN: 2231-3796
Elektronische ISSN: 0973-7707
DOI
https://doi.org/10.1007/s12070-017-1183-5

Weitere Artikel der Sonderheft 1/2019

Indian Journal of Otolaryngology and Head & Neck Surgery 1/2019 Zur Ausgabe

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

HNO-Op. auch mit über 90?

16.04.2024 HNO-Chirurgie Nachrichten

Mit Blick auf das Risiko für Komplikationen nach elektiven Eingriffen im HNO-Bereich scheint das Alter der Patienten kein ausschlaggebender Faktor zu sein. Entscheidend ist offenbar, wie fit die Betroffenen tatsächlich sind.

Intrakapsuläre Tonsillektomie gewinnt an Boden

16.04.2024 Tonsillektomie Nachrichten

Gegenüber der vollständigen Entfernung der Gaumenmandeln hat die intrakapsuläre Tonsillektomie einige Vorteile, wie HNO-Fachleute aus den USA hervorheben. Sie haben die aktuelle Literatur zu dem Verfahren gesichtet.

Bilateraler Hörsturz hat eine schlechte Prognose

15.04.2024 Hörsturz Nachrichten

Die Mehrzahl der Menschen mit Hörsturz ist einseitig betroffen, doch auch ein beidseitiger Hörsturz ist möglich. Wie häufig solche Fälle sind und wie sich ihr Verlauf darstellt, hat eine HNO-Expertenrunde aus den USA untersucht.

Update HNO

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.