A follow‐up study on thyroid aspirates reported as atypia of undetermined significance/follicular lesion of undetermined significance and follicular neoplasm/suspicious for follicular neoplasm: A multicenter study from the Arabian Gulf region

Objective This is a multicenter study which was conducted to evaluate the follow‐up on thyroid aspirate cases with atypia of undetermined significance/follicular cells of undetermined significance (AUS/FLUS) and follicular neoplasm or suspicious for follicular neoplasm (FN/SFN) using the Bethesda sy...

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Veröffentlicht in:Diagnostic cytopathology 2017-11, Vol.45 (11), p.983-988
Hauptverfasser: Al‐Abbadi, Mousa A., Shareef, Sameera Q., Yousef, Mohammad M., Almasri, Nidal M., Mustafa, Huda E., Aljawad, Hameed, Ali, Jassim A., Groves, Alan, Alsaihati, Yasmen
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container_end_page 988
container_issue 11
container_start_page 983
container_title Diagnostic cytopathology
container_volume 45
creator Al‐Abbadi, Mousa A.
Shareef, Sameera Q.
Yousef, Mohammad M.
Almasri, Nidal M.
Mustafa, Huda E.
Aljawad, Hameed
Ali, Jassim A.
Groves, Alan
Alsaihati, Yasmen
description Objective This is a multicenter study which was conducted to evaluate the follow‐up on thyroid aspirate cases with atypia of undetermined significance/follicular cells of undetermined significance (AUS/FLUS) and follicular neoplasm or suspicious for follicular neoplasm (FN/SFN) using the Bethesda system for reporting thyroid cytology (TBSRTC). Materials and Methods The archival materials of all thyroid fine‐needle aspirates over a 5‐year period were retrieved from 3 institutions in the Arabian Gulf Region. All cytology slides and follow‐up material for cases interpreted as AUS/FLUS and FN/SFN were reviewed. The revised diagnoses and follow‐up were recorded. Analysis of risk of malignancy was calculated for the 2 entities. Results A total number of 2592 thyroid fine‐needle aspirates were performed, out of which AUS/FLUS was found in 115 (4.4%) while FN/SFN in 39 (1.5%). Follow‐up by surgery or repeat FNA was conducted on 42 (27%) and 10 (7%) patients on these 2 categories, respectively. The risk of malignancy was found to be 29% and 45%, respectively. Conclusion The risk of malignancy for AUS/FLUS and FN/SFN are 29% and 45%, respectively. This risk of malignancy in our study is on the higher range of that reported in the literature.
doi_str_mv 10.1002/dc.23805
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Materials and Methods The archival materials of all thyroid fine‐needle aspirates over a 5‐year period were retrieved from 3 institutions in the Arabian Gulf Region. All cytology slides and follow‐up material for cases interpreted as AUS/FLUS and FN/SFN were reviewed. The revised diagnoses and follow‐up were recorded. Analysis of risk of malignancy was calculated for the 2 entities. Results A total number of 2592 thyroid fine‐needle aspirates were performed, out of which AUS/FLUS was found in 115 (4.4%) while FN/SFN in 39 (1.5%). Follow‐up by surgery or repeat FNA was conducted on 42 (27%) and 10 (7%) patients on these 2 categories, respectively. The risk of malignancy was found to be 29% and 45%, respectively. Conclusion The risk of malignancy for AUS/FLUS and FN/SFN are 29% and 45%, respectively. This risk of malignancy in our study is on the higher range of that reported in the literature.</description><identifier>ISSN: 8755-1039</identifier><identifier>EISSN: 1097-0339</identifier><identifier>DOI: 10.1002/dc.23805</identifier><identifier>PMID: 28862810</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adenocarcinoma, Follicular - epidemiology ; Adenocarcinoma, Follicular - pathology ; Adult ; Aged ; AUS/FLUS ; Cellular biology ; Cytology ; Diagnosis, Differential ; Female ; FN/suspicious for FN ; follow‐up ; Health risk assessment ; Humans ; Institutions ; Male ; Malignancy ; Middle Aged ; Middle East ; Risk analysis ; Thyroid ; Thyroid gland ; Thyroid Nodule - epidemiology ; Thyroid Nodule - pathology ; Tumors</subject><ispartof>Diagnostic cytopathology, 2017-11, Vol.45 (11), p.983-988</ispartof><rights>2017 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3495-e47740537a8f7ff46ad584c30b9189bd2dcb176c4faffd08ec5dbf3fe2b757693</citedby><cites>FETCH-LOGICAL-c3495-e47740537a8f7ff46ad584c30b9189bd2dcb176c4faffd08ec5dbf3fe2b757693</cites><orcidid>0000-0002-0467-8244</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fdc.23805$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fdc.23805$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28862810$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Al‐Abbadi, Mousa A.</creatorcontrib><creatorcontrib>Shareef, Sameera Q.</creatorcontrib><creatorcontrib>Yousef, Mohammad M.</creatorcontrib><creatorcontrib>Almasri, Nidal M.</creatorcontrib><creatorcontrib>Mustafa, Huda E.</creatorcontrib><creatorcontrib>Aljawad, Hameed</creatorcontrib><creatorcontrib>Ali, Jassim A.</creatorcontrib><creatorcontrib>Groves, Alan</creatorcontrib><creatorcontrib>Alsaihati, Yasmen</creatorcontrib><title>A follow‐up study on thyroid aspirates reported as atypia of undetermined significance/follicular lesion of undetermined significance and follicular neoplasm/suspicious for follicular neoplasm: A multicenter study from the Arabian Gulf region</title><title>Diagnostic cytopathology</title><addtitle>Diagn Cytopathol</addtitle><description>Objective This is a multicenter study which was conducted to evaluate the follow‐up on thyroid aspirate cases with atypia of undetermined significance/follicular cells of undetermined significance (AUS/FLUS) and follicular neoplasm or suspicious for follicular neoplasm (FN/SFN) using the Bethesda system for reporting thyroid cytology (TBSRTC). Materials and Methods The archival materials of all thyroid fine‐needle aspirates over a 5‐year period were retrieved from 3 institutions in the Arabian Gulf Region. All cytology slides and follow‐up material for cases interpreted as AUS/FLUS and FN/SFN were reviewed. The revised diagnoses and follow‐up were recorded. Analysis of risk of malignancy was calculated for the 2 entities. Results A total number of 2592 thyroid fine‐needle aspirates were performed, out of which AUS/FLUS was found in 115 (4.4%) while FN/SFN in 39 (1.5%). Follow‐up by surgery or repeat FNA was conducted on 42 (27%) and 10 (7%) patients on these 2 categories, respectively. The risk of malignancy was found to be 29% and 45%, respectively. Conclusion The risk of malignancy for AUS/FLUS and FN/SFN are 29% and 45%, respectively. This risk of malignancy in our study is on the higher range of that reported in the literature.</description><subject>Adenocarcinoma, Follicular - epidemiology</subject><subject>Adenocarcinoma, Follicular - pathology</subject><subject>Adult</subject><subject>Aged</subject><subject>AUS/FLUS</subject><subject>Cellular biology</subject><subject>Cytology</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>FN/suspicious for FN</subject><subject>follow‐up</subject><subject>Health risk assessment</subject><subject>Humans</subject><subject>Institutions</subject><subject>Male</subject><subject>Malignancy</subject><subject>Middle Aged</subject><subject>Middle East</subject><subject>Risk analysis</subject><subject>Thyroid</subject><subject>Thyroid gland</subject><subject>Thyroid Nodule - epidemiology</subject><subject>Thyroid Nodule - pathology</subject><subject>Tumors</subject><issn>8755-1039</issn><issn>1097-0339</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kk2KFDEYhoMoTjsKnkACbtzUdFJJVRJ3TaujMOBG10UqP2OGVFImFYbaeQTP6Bk8gGm7_UHUVSDfk4f3JR8AjzG6wAi1W60uWsJRdwdsMBKsQYSIu2DDWdc1GBFxBh7kfIMQEi3u74OzlvO-5RhtwNcdtNH7ePvl0-cyw7wUvcIY4PJhTdFpKPPsklxMhsnMMS3mcAXlss5OwmhhCdosJk0u1El218FZp2RQZnvQOlW8TNCb7KrzfziUQcPfngQTZy_ztM2lJlAullzH6W_Ic7iDU_GLUyZU96mDTXGqLQzcJTk6GeBl8baWuK5JHoJ7VvpsHp3Oc_D-1ct3-9fN1dvLN_vdVaMIFV1jKGMUdYRJbpm1tJe641QRNArMxahbrUbMekWttFYjblSnR0usaUfWsV6Qc_Ds6J1T_FhMXobJZWW8lzV7yQMWpMd9Tymt6NM_0JtYUqjpKkW5QIxT8kuoUsw5GTvMyU0yrQNGw2ETBq2G75tQ0ScnYRkno3-CP76-As0RuHXerP8UDS_2R-E3LBHE4A</recordid><startdate>201711</startdate><enddate>201711</enddate><creator>Al‐Abbadi, Mousa A.</creator><creator>Shareef, Sameera Q.</creator><creator>Yousef, Mohammad M.</creator><creator>Almasri, Nidal M.</creator><creator>Mustafa, Huda E.</creator><creator>Aljawad, Hameed</creator><creator>Ali, Jassim A.</creator><creator>Groves, Alan</creator><creator>Alsaihati, Yasmen</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0467-8244</orcidid></search><sort><creationdate>201711</creationdate><title>A follow‐up study on thyroid aspirates reported as atypia of undetermined significance/follicular lesion of undetermined significance and follicular neoplasm/suspicious for follicular neoplasm: A multicenter study from the Arabian Gulf region</title><author>Al‐Abbadi, Mousa A. ; Shareef, Sameera Q. ; Yousef, Mohammad M. ; Almasri, Nidal M. ; Mustafa, Huda E. ; Aljawad, Hameed ; Ali, Jassim A. ; Groves, Alan ; Alsaihati, Yasmen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3495-e47740537a8f7ff46ad584c30b9189bd2dcb176c4faffd08ec5dbf3fe2b757693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adenocarcinoma, Follicular - epidemiology</topic><topic>Adenocarcinoma, Follicular - pathology</topic><topic>Adult</topic><topic>Aged</topic><topic>AUS/FLUS</topic><topic>Cellular biology</topic><topic>Cytology</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>FN/suspicious for FN</topic><topic>follow‐up</topic><topic>Health risk assessment</topic><topic>Humans</topic><topic>Institutions</topic><topic>Male</topic><topic>Malignancy</topic><topic>Middle Aged</topic><topic>Middle East</topic><topic>Risk analysis</topic><topic>Thyroid</topic><topic>Thyroid gland</topic><topic>Thyroid Nodule - epidemiology</topic><topic>Thyroid Nodule - pathology</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Al‐Abbadi, Mousa A.</creatorcontrib><creatorcontrib>Shareef, Sameera Q.</creatorcontrib><creatorcontrib>Yousef, Mohammad M.</creatorcontrib><creatorcontrib>Almasri, Nidal M.</creatorcontrib><creatorcontrib>Mustafa, Huda E.</creatorcontrib><creatorcontrib>Aljawad, Hameed</creatorcontrib><creatorcontrib>Ali, Jassim A.</creatorcontrib><creatorcontrib>Groves, Alan</creatorcontrib><creatorcontrib>Alsaihati, Yasmen</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Diagnostic cytopathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Al‐Abbadi, Mousa A.</au><au>Shareef, Sameera Q.</au><au>Yousef, Mohammad M.</au><au>Almasri, Nidal M.</au><au>Mustafa, Huda E.</au><au>Aljawad, Hameed</au><au>Ali, Jassim A.</au><au>Groves, Alan</au><au>Alsaihati, Yasmen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A follow‐up study on thyroid aspirates reported as atypia of undetermined significance/follicular lesion of undetermined significance and follicular neoplasm/suspicious for follicular neoplasm: A multicenter study from the Arabian Gulf region</atitle><jtitle>Diagnostic cytopathology</jtitle><addtitle>Diagn Cytopathol</addtitle><date>2017-11</date><risdate>2017</risdate><volume>45</volume><issue>11</issue><spage>983</spage><epage>988</epage><pages>983-988</pages><issn>8755-1039</issn><eissn>1097-0339</eissn><abstract>Objective This is a multicenter study which was conducted to evaluate the follow‐up on thyroid aspirate cases with atypia of undetermined significance/follicular cells of undetermined significance (AUS/FLUS) and follicular neoplasm or suspicious for follicular neoplasm (FN/SFN) using the Bethesda system for reporting thyroid cytology (TBSRTC). Materials and Methods The archival materials of all thyroid fine‐needle aspirates over a 5‐year period were retrieved from 3 institutions in the Arabian Gulf Region. All cytology slides and follow‐up material for cases interpreted as AUS/FLUS and FN/SFN were reviewed. The revised diagnoses and follow‐up were recorded. Analysis of risk of malignancy was calculated for the 2 entities. Results A total number of 2592 thyroid fine‐needle aspirates were performed, out of which AUS/FLUS was found in 115 (4.4%) while FN/SFN in 39 (1.5%). Follow‐up by surgery or repeat FNA was conducted on 42 (27%) and 10 (7%) patients on these 2 categories, respectively. The risk of malignancy was found to be 29% and 45%, respectively. Conclusion The risk of malignancy for AUS/FLUS and FN/SFN are 29% and 45%, respectively. This risk of malignancy in our study is on the higher range of that reported in the literature.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>28862810</pmid><doi>10.1002/dc.23805</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-0467-8244</orcidid></addata></record>
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subjects Adenocarcinoma, Follicular - epidemiology
Adenocarcinoma, Follicular - pathology
Adult
Aged
AUS/FLUS
Cellular biology
Cytology
Diagnosis, Differential
Female
FN/suspicious for FN
follow‐up
Health risk assessment
Humans
Institutions
Male
Malignancy
Middle Aged
Middle East
Risk analysis
Thyroid
Thyroid gland
Thyroid Nodule - epidemiology
Thyroid Nodule - pathology
Tumors
title A follow‐up study on thyroid aspirates reported as atypia of undetermined significance/follicular lesion of undetermined significance and follicular neoplasm/suspicious for follicular neoplasm: A multicenter study from the Arabian Gulf region
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