Reliability of fine-needle aspiration for thyroid nodules greater than or equal to 4 cm

Abstract Background Fine-needle aspiration (FNA) is considered the diagnostic test of choice in the evaluation of thyroid nodules. Some practice recommendations, however, suggest surgical resection of larger thyroid nodules due to concerns of FNA unreliability in the diagnosis of thyroid malignancy....

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Bibliographic Details
Published in:The Journal of surgical research 2013-05, Vol.181 (1), p.6-10
Main Authors: Albuja-Cruz, Maria B., MD, Goldfarb, Melanie, MD, Gondek, Stephen S., MD, MPH, Allan, Bassan J., MD, Lew, John I., MD, FACS
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Biopsy, Fine-Needle - methods
Child
Female
Fine-needle aspiration
Humans
Male
Middle Aged
Reproducibility of Results
Retrospective Studies
Surgery
Thyroid malignancy
Thyroid Nodule - pathology
Thyroid nodules
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Summary:Abstract Background Fine-needle aspiration (FNA) is considered the diagnostic test of choice in the evaluation of thyroid nodules. Some practice recommendations, however, suggest surgical resection of larger thyroid nodules due to concerns of FNA unreliability in the diagnosis of thyroid malignancy. The purpose of this study was to determine the reliability of FNA in thyroid nodules ≥4 cm. Methods Retrospective review of prospectively collected data of 1068 consecutive patients who underwent FNA and thyroidectomy at a single tertiary medical center from 2003 to 2010 was performed. Patients were divided into two groups: those patients with a dominant thyroid nodule ≥4 cm ( n = 212) and those patients with a dominant thyroid nodule
ISSN:0022-4804
1095-8673
DOI:10.1016/j.jss.2012.06.030