初次无诊断结果后重复甲状腺细针穿刺细胞学检查：是否有最佳时机？

4区医学 Q3 Nursing

Endocrinologia, Diabetes y Nutricion Pub Date : 2024-05-01 DOI:10.1016/j.endinu.2024.03.004

Inês Cosme , Ema Nobre , Maria João Bugalho

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引用次数: 0

摘要

导言：建议至少等待 3 个月后再重复一次细针穿刺细胞学检查（FNAC），以避免前一次检查可能引起的炎性细胞学变化。本研究评估了曾进行过一次无诊断性（ND）细针穿刺细胞学检查的人群中，两次细针穿刺细胞学检查之间间隔时间的影响。我们根据两次手术的间隔时间，分析了第二次 FNAC 中 ND 或意义未定的不典型性/意义未定的滤泡性病变（AUS/FLUS）结果的发生率。患者和方法回顾性研究（2017-2020 年）包括有 ND 结果并接受了另一次 FNAC 的甲状腺结节。收集了人口统计学、临床和超声数据、FNAC 间隔时间及其结果。我们考虑的间隔时间为：≤/>3 个月和≤/>6 个月。第二次 FNAC 结果分为 ND、AUS/FLUS 或诊断（包括其他 Bethesda 类别）。第二次 FNAC 结果为63例为ND，9例为AUS/FLUS，118例为诊断性。≤3个月进行的FNAC结果（13例ND，2例AUS/FLUS，19例诊断）与3个月进行的FNAC结果（50例ND，7例AUS/FLUS，99例诊断；P = 0.71）没有统计学差异。同样，考虑到更长的时间间隔，也没有统计学差异：≤6 个月（32 ND，3 AUS/FLUS，59 诊断） vs >6 个月（31 ND，6 AUS/FLUS，59 诊断；p = 0.61）。结论FNAC检查的间隔时间与最终细胞学结果无关，早期重复FNAC检查不会增加ND或AUS/FLUS病例。

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Repetition of thyroid fine-needle aspiration cytology after an initial nondiagnostic result: Is there an optimal timing?

Introduction

It is suggested to wait at least 3 months to repeat a fine needle aspiration cytology (FNAC) to avoid possible inflammatory cytological changes induced by a previous procedure. This study evaluated the influence of the interval between 2 FNACs in a cohort with a previous non-diagnostic (ND) FNAC. We analysed the occurrence of ND or atypia of undetermined significance/follicular lesion of undetermined significance (AUS/FLUS) results in the second FNAC, based on the intervals between procedures.

Patients and methods

Retrospective study (2017–2020) including thyroid nodules with a ND result, subjected to another FNAC. Demographic, clinical and echographic data, interval between FNACs and their results were collected. We considered the intervals: ≤/>3 months and ≤/>6 months. Second FNAC results were classified as ND, AUS/FLUS or diagnostic (including the other Bethesda categories).

Results

Included 190 nodules (190 patients – 82.1% women, mean age 60 ± 13.7 years) with a first ND FNAC. The second FNAC results were: ND in 63 cases, AUS/FLUS in 9 and diagnostic in 118 cases. There were no statistical differences in FNAC results performed ≤ 3 months (13 ND, 2 AUS/FLUS, 19 diagnostic) vs >3 months (50 ND, 7 AUS/FLUS, 99 diagnostic; p = 0.71). Similarly, there were no statistical differences considering a longer time interval: ≤6 months (32 ND, 3 AUS/FLUS, 59 diagnostic) vs >6 months (31 ND, 6 AUS/FLUS, 59 diagnostic; p = 0.61).

Conclusions

Time interval between FNACs was not relevant to the final cytological result. Early FNAC repetition did not increase the cases of ND or AUS/FLUS.

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来源期刊

Endocrinologia, Diabetes y Nutricion Nursing-Nutrition and Dietetics

CiteScore

2.10

自引率

0.00%

发文量

169

审稿时长

35 days

期刊介绍： Endocrinología, Diabetes y Nutrición is the official journal of the Spanish Society of Endocrinology and Nutrition (Sociedad Española de Endocrinología y Nutrición, SEEN) and the Spanish Society of Diabetes (Sociedad Española de Diabetes, SED), and was founded in 1954. The aim of the journal is to improve knowledge and be a useful tool in practice for clinical and laboratory specialists, trainee physicians, researchers, and nurses interested in endocrinology, diabetes, nutrition and related disciplines. It is an international journal published in Spanish (print and online) and English (online), covering different fields of endocrinology and metabolism, including diabetes, obesity, and nutrition disorders, as well as the most relevant research produced mainly in Spanish language territories. The quality of the contents is ensured by a prestigious national and international board, and by a selected panel of specialists involved in a rigorous peer review. The result is that only manuscripts containing high quality research and with utmost interest for clinicians and professionals related in the field are published. The Journal publishes Original clinical and research articles, Reviews, Special articles, Clinical Guidelines, Position Statements from both societies and Letters to the editor. Endocrinología, Diabetes y Nutrición can be found at Science Citation Index Expanded, Medline/PubMed and SCOPUS.