Follow-up of benign thyroid nodules confirmed by ultrasound-guided core needle biopsy after inconclusive cytology on fine-needle aspiration biopsy.

IF 2.4 3区医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Ultrasonography Pub Date : 2023-01-01 DOI:10.14366/usg.22115

Yoon Ji Hwang, Hye Ryoung Koo, Jeong Seon Park

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Abstract

Purpose: The goal of this study was to follow benign thyroid nodules confirmed by ultrasound (US)-guided core needle biopsy (CNB) after inconclusive cytology on fine-needle aspiration (FNA) biopsy.

Methods: Sixty-two thyroid nodules from 62 patients with CNB-confirmed benign histology that initially had inconclusive cytology on FNA were retrospectively included. The thyroid nodules were followed for 38.7 months (median, 27.5 months; range, 6 to 101 months), and the US findings of biopsied nodules, such as the interval change in size, US characteristics, and imaging category based on the Korean Thyroid Imaging Reporting and Data System (K-TIRADS), were evaluated. In addition, patients' clinical records were reviewed for any further management or newly diagnosed thyroid malignancy.

Results: Among 62 cases, three (4.8%) showed interval size growth, while 59 (95.2%) demonstrated no interval change or a decrease in size. There was no upgrade of K-TIRADS category or any newly diagnosed malignancy during the follow-up period.

Conclusion: US-guided CNB-confirmed benign thyroid nodules with inconclusive cytology on FNA showed a stable status during follow-up, and repeated CNB could be helpful in the management of nodules with inconclusive cytology on FNA.

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细针穿刺细胞学不确定后超声引导下芯针活检证实良性甲状腺结节的随访。

目的:本研究的目的是在细针穿刺活检(FNA)细胞学不确定后，通过超声(US)引导下的核心针活检(CNB)确诊的良性甲状腺结节。方法:回顾性分析62例cnb确诊的良性组织，最初FNA细胞学检查不确定的62例甲状腺结节。甲状腺结节随访38.7个月(中位27.5个月;范围(6至101个月)，并评估活检结节的美国表现，如大小的间隔变化、美国特征和基于韩国甲状腺成像报告和数据系统(K-TIRADS)的成像类别。此外，我们还回顾了患者的临床记录，以了解任何进一步的治疗或新诊断的甲状腺恶性肿瘤。结果:62例患者中，3例(4.8%)间段增大，59例(95.2%)间段无变化或缩小。在随访期间，K-TIRADS分类没有升级或任何新诊断的恶性肿瘤。结论:us引导下CNB确诊的FNA细胞学不确定的良性甲状腺结节在随访中状态稳定，反复CNB有助于FNA细胞学不确定结节的治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Ultrasonography Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

5.10

自引率

6.50%

发文量

审稿时长

15 weeks

期刊介绍： Ultrasonography, the official English-language journal of the Korean Society of Ultrasound in Medicine (KSUM), is an international peer-reviewed academic journal dedicated to practice, research, technology, and education dealing with medical ultrasound. It is renamed from the Journal of Korean Society of Ultrasound in Medicine in January 2014, and published four times per year: January 1, April 1, July 1, and October 1. Original articles, technical notes, topical reviews, perspectives, pictorial essays, and timely editorial materials are published in Ultrasonography covering state-of-the-art content. Ultrasonography aims to provide updated information on new diagnostic concepts and technical developments, including experimental animal studies using new equipment in addition to well-designed reviews of contemporary issues in patient care. Along with running KSUM Open, the annual international congress of KSUM, Ultrasonography also serves as a medium for cooperation among physicians and specialists from around the world who are focusing on various ultrasound technology and disease problems and relevant basic science.