Tiroid İnce İğne Aspirasyon Biyopsi Sonuçlarının Değerlendirilmesi: Tek Merkez Deneyimi

Baris Karagün
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Abstract

ABSTRACT: Objective: It was aimed to examine the results of thyroid fine needle aspiration (FNA) biopsy performed in our clinic and to investigate its effectiveness. Methods: In this study, the results of 101 patients who underwent thyroid FNAB in Tarsus state hospital endocrinology clinic between December 2021 and July 2022 were retrospectively analyzed. Results: Ultrasonographic features of thyroid nodules were classified according to EU-TIRADS, 51(50.5%) were in EU-TIRADS-3, 31 (30.7%) were in EU-TIRADS-4, 19(18.8%) were in EU-TIRADS-5. When we categorize cytology results according to Bethesda classification, 23 (22.8%) Bethesda I, 48 (47.5%) Bethesda II, 16 (15.8%) Bethesda III, 4(4%) Bethesda IV, 10(9.9%) detected as Bethesda VI. Bethesda II was found in the EU-TIRADS-3 category with the highest frequency, while Bethesda VI was found in the EU-TIRADS-5 category with the highest frequency. The mean nodule diameter was found to be 20.48 9.73mm. Conclusion: Ultrasonographic findings of the nodules correlated with cytology results. The EU-TIRADS categorisation has a good concordance with the Bethesda system. The coordinated use of the two classifications helps the clinician to avoid the risk of unnecessary invasive procedures.
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摘要:目的:探讨甲状腺细针穿刺活检(FNA)在临床上的应用效果及有效性。方法:回顾性分析2021年12月至2022年7月在塔尔苏斯州立医院内分泌科门诊接受甲状腺FNAB治疗的101例患者的结果。结果:根据EU-TIRADS超声特征对甲状腺结节进行分类,EU-TIRADS-3型51例(50.5%),EU-TIRADS-4型31例(30.7%),EU-TIRADS-5型19例(18.8%)。按照Bethesda分类对细胞学结果进行分类时,Bethesda I型23例(22.8%),Bethesda II型48例(47.5%),Bethesda III型16例(15.8%),Bethesda IV型4例(4%),Bethesda VI型10例(9.9%)。Bethesda II型出现在EU-TIRADS-3类中频率最高,Bethesda VI型出现在EU-TIRADS-5类中频率最高。结节平均直径20.489.73mm。结论:超声检查结果与细胞学检查结果一致。EU-TIRADS分类与Bethesda系统有很好的一致性。两种分类的协调使用有助于临床医生避免不必要的侵入性手术的风险。
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