Thyroid FNA performed by cytopathologists accompanied by radiologists guiding the ultrasound provide high-level quality results: A retrospective observational study

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dc.contributor.authorBorges, Felipe Abrantkoski
dc.contributor.authorCamilo-Júnior, Deolino João
dc.contributor.authorYamamoto, Fábio Massahito [UNESP]
dc.contributor.authorXavier-Júnior, José Cândido C. [UNESP]
dc.contributor.institutionCentro Universitário Católico Unisalesiano Auxilium
dc.contributor.institutionInstituto de Patologia de Araçatuba (IPAT)
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.date.accessioned2022-04-29T08:46:36Z
dc.date.available2022-04-29T08:46:36Z
dc.date.issued2022-06-01
dc.description.abstractBackground: On thyroid cytology, false negative and false positive rates are considered parameters for quality control. Nevertheless, there are few studies about medical professional involved in this procedure. We conducted a 4-year cytohistological correlation of thyroid specimens in a single institution. To describe cytological and histological correlation where radiologists guide the ultrasound (US) and cytopathologists perform the thyroid fine needle aspiration (FNA). Methods: Retrospective observational study of thyroid specimens in a Brazilian countryside setting. The ultrasound was performed by radiologists, and the FNA was performed by pathologists. All cases were reviewed by two pathologists following the Bethesda Reporting System for Reporting Thyroid Cytopathology and the World Health Organization's Classification of Tumours of Endocrine Organs. Clinical information, such as sex, age, location, and ultrasound data, was collected from our reports. Results: From a total of 3265 patients, 3703 nodules (391 patients showed more than one nodule) were submitted to FNA. For correlation, there were 168 surgical thyroidectomy specimens. The risk of malignancy for the Bethesda system categories were: nondiagnostic/unsatisfactory = 0/4 (0%); benign = 1/38 (2.6%); atypia of undetermined significance or follicular lesion of undetermined significance = 2/20 (10.0%); follicular neoplasm or suspicious for follicular neoplasm = 3/16 (18.7%); suspicious for malignancy = 63/67 (94.0%); and malignant = 22/23 (95.6%). Conclusion: High-level quality results can be accomplished with cooperation between cytopathologists performing thyroid FNA accompanied by radiologists guiding the ultrasound.en
dc.description.affiliationSchool of Medicine Centro Universitário Católico Unisalesiano Auxilium, São Paulo
dc.description.affiliationInstituto de Patologia de Araçatuba (IPAT), São Paulo
dc.description.affiliationSchool of Medicine São Paulo State University, São Paulo
dc.description.affiliationUnespSchool of Medicine São Paulo State University, São Paulo
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.description.sponsorshipIdFAPESP: 2021/00710-4
dc.identifierhttp://dx.doi.org/10.1016/j.anndiagpath.2022.151912
dc.identifier.citationAnnals of Diagnostic Pathology, v. 58.
dc.identifier.doi10.1016/j.anndiagpath.2022.151912
dc.identifier.issn1532-8198
dc.identifier.issn1092-9134
dc.identifier.scopus2-s2.0-85124737756
dc.identifier.urihttp://hdl.handle.net/11449/231618
dc.language.isoeng
dc.relation.ispartofAnnals of Diagnostic Pathology
dc.sourceScopus
dc.subjectBiopsy
dc.subjectCytology
dc.subjectFine-needle
dc.subjectPathology
dc.subjectQuality control
dc.subjectThyroid neoplasms
dc.titleThyroid FNA performed by cytopathologists accompanied by radiologists guiding the ultrasound provide high-level quality results: A retrospective observational studyen
dc.typeArtigo

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