To report original and review existing data on safety and performance of large-needle aspiration biopsy (LNAB) histology in the preoperative selection of palpable thyroid nodule. Methods and results: The English literature and original data were reviewed or analysed. The literature on LNAB of thyroid nodules did not report any complications. A study on needle dimensions has explained why LNAB obtains more tissue than fine-needle aspiration (FNA) and is safe. LNAB histology has higher specificity than FNA cytology and markedly reduces the number of inadequate and indeterminate FNA findings. A comparison of 150 FNA-derived cell blocks with 200 LNAB-derived histological blocks after galectin-3 determination in a large nationwide (Italian) study has shown that one to two sections in 10% of the FNA cell blocks and at least five sections in 90% of the LNAB blocks were available for further determinations of thyroid tumour markers. Conclusion: LNAB merits further consideration for the preoperative selection of thyroid nodules.
Percutaneous large-needle aspiration biopsy histology of palpable thyroid nodules: Technical and diagnostic performance / Carpi, A.; Nicolini, A.; Marchetti, C.; Iervasi, G.; Antonelli, A.; Carpi, F.. - In: HISTOPATHOLOGY. - ISSN 0309-0167. - ELETTRONICO. - 51:(2007), pp. 249-257. [10.1111/j.1365-2559.2007.02764.x]
Percutaneous large-needle aspiration biopsy histology of palpable thyroid nodules: Technical and diagnostic performance
CARPI, FEDERICO
2007
Abstract
To report original and review existing data on safety and performance of large-needle aspiration biopsy (LNAB) histology in the preoperative selection of palpable thyroid nodule. Methods and results: The English literature and original data were reviewed or analysed. The literature on LNAB of thyroid nodules did not report any complications. A study on needle dimensions has explained why LNAB obtains more tissue than fine-needle aspiration (FNA) and is safe. LNAB histology has higher specificity than FNA cytology and markedly reduces the number of inadequate and indeterminate FNA findings. A comparison of 150 FNA-derived cell blocks with 200 LNAB-derived histological blocks after galectin-3 determination in a large nationwide (Italian) study has shown that one to two sections in 10% of the FNA cell blocks and at least five sections in 90% of the LNAB blocks were available for further determinations of thyroid tumour markers. Conclusion: LNAB merits further consideration for the preoperative selection of thyroid nodules.File | Dimensione | Formato | |
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