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Risk stratification based on thyroid cytology: can we rely on national data?

Abstract：

PURPOSE:Determine correlation of malignancy rates between fine needle aspiration (FNA) biopsy and surgical specimen in an urban academic environment. METHODS:Retrospective review at an academic medical center of fine needle aspiration biopsies and surgical specimens in a head and neck otolaryngology practice between 2000 and 2012. RESULTS:Of the 74 biopsies diagnosed as follicular lesion, 34 (45.9%) were malignant. Of the 45 biopsies diagnosed as follicular neoplasm, 22 (48.9%) were malignant. These results are significantly higher than the average risk of malignancy cited by the American Thyroid Association of 5%-10% and 20%-30% for follicular lesions and neoplasms respectively. CONCLUSIONS:The rate of malignancy based on a FNA diagnosis of indeterminate cytology (follicular lesion or follicular neoplasm) can vary greatly among different institutions. Thyroid surgeons should be aware of their local pathology practices to better guide therapy and counsel patients.

journal_name

Am J Otolaryngol

journal_title

American journal of otolaryngology

authors

Cohen DS,VandeGriend ZP,Yoo GH,Folbe AJ,Lin HS

doi

10.1016/j.amjoto.2013.12.014

subject

Has Abstract

pub_date

2014-05-01 00:00:00

pages

362-5

issue

3

eissn

0196-0709

issn

1532-818X

pii

S0196-0709(13)00297-4

journal_volume

35

pub_type

杂志文章

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