Routine performance of thyroid ultrasound and fine-needle aspiration biopsy in the setting of a high-resolution endocrinology practice
Fine-needle aspiration biopsy (FNAB) is considered the reference diagnostic procedure for thyroid nodules. Routine performance of thyroid ultrasound and ultrasound-guided FNAB by endocrinologists allows a more efficient approach in the setting of a high-resolution practice, thus reducing costs and t...
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Veröffentlicht in: | Endocrinologia y nutricion 2010-02, Vol.57 (2), p.43-48 |
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creator | Tofé Povedano, Santiago Argüelles Jiménez, Iñaki García Fernández, Honorato Quevedo Juanals, Julia Díaz Medina, Sergio Serra Soler, Guillermo Burguera González, Bartolomé Codina Marcet, Mercedes Mena Ribas, Elena Urgeles Planella, Juan Ramón Pereg Macazaga, Vicente |
description | Fine-needle aspiration biopsy (FNAB) is considered the reference diagnostic procedure for thyroid nodules.
Routine performance of thyroid ultrasound and ultrasound-guided FNAB by endocrinologists allows a more efficient approach in the setting of a high-resolution practice, thus reducing costs and the time elapsed until diagnosis.
We present our initial results of this procedure 2 years after its introduction, with a total of 286 biopsies performed. After a progressive learning curve over time and according to the endocrinologists' previous experience, 72.72% samples were considered satisfactory for diagnosis. Greater difficulty was observed in obtaining optimal cytological specimens in smaller nodules. In conclusion, we have successfully incorporated thyroid ultrasound and ultrasound-guided FNAB into routine endocrine practice.
Routine performance of thyroid ultrasound in endocrine practice will considerably aid the management of nodular thyroid disease. |
doi_str_mv | 10.1016/j.endonu.2009.12.001 |
format | Article |
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Routine performance of thyroid ultrasound and ultrasound-guided FNAB by endocrinologists allows a more efficient approach in the setting of a high-resolution practice, thus reducing costs and the time elapsed until diagnosis.
We present our initial results of this procedure 2 years after its introduction, with a total of 286 biopsies performed. After a progressive learning curve over time and according to the endocrinologists' previous experience, 72.72% samples were considered satisfactory for diagnosis. Greater difficulty was observed in obtaining optimal cytological specimens in smaller nodules. In conclusion, we have successfully incorporated thyroid ultrasound and ultrasound-guided FNAB into routine endocrine practice.
Routine performance of thyroid ultrasound in endocrine practice will considerably aid the management of nodular thyroid disease.</description><identifier>ISSN: 1575-0922</identifier><identifier>DOI: 10.1016/j.endonu.2009.12.001</identifier><identifier>PMID: 20138596</identifier><language>spa</language><publisher>Spain</publisher><subject>Adenocarcinoma, Follicular - diagnostic imaging ; Adenocarcinoma, Follicular - epidemiology ; Adenocarcinoma, Follicular - pathology ; Adenoma - diagnostic imaging ; Adenoma - epidemiology ; Adenoma - pathology ; Adult ; Biopsy, Fine-Needle - adverse effects ; Biopsy, Fine-Needle - methods ; Biopsy, Fine-Needle - utilization ; Carcinoma, Papillary - diagnostic imaging ; Carcinoma, Papillary - epidemiology ; Carcinoma, Papillary - pathology ; Cysts - diagnostic imaging ; Cysts - epidemiology ; Cysts - pathology ; Endocrinology - organization & administration ; Female ; Goiter, Nodular - diagnostic imaging ; Goiter, Nodular - pathology ; Hematoma - etiology ; Hospital Departments ; Hospitals, University - organization & administration ; Humans ; Lymphoma, Non-Hodgkin - diagnostic imaging ; Lymphoma, Non-Hodgkin - epidemiology ; Lymphoma, Non-Hodgkin - pathology ; Male ; Pregnancy ; Pregnancy Complications - diagnostic imaging ; Pregnancy Complications - pathology ; Spain - epidemiology ; Syncope, Vasovagal - etiology ; Thyroid Diseases - diagnostic imaging ; Thyroid Diseases - pathology ; Thyroid Neoplasms - diagnostic imaging ; Thyroid Neoplasms - epidemiology ; Thyroid Neoplasms - pathology ; Ultrasonography, Interventional - utilization</subject><ispartof>Endocrinologia y nutricion, 2010-02, Vol.57 (2), p.43-48</ispartof><rights>Copyright (c) 2009 SEEN. Published by Elsevier Espana. All rights reserved.</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20138596$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tofé Povedano, Santiago</creatorcontrib><creatorcontrib>Argüelles Jiménez, Iñaki</creatorcontrib><creatorcontrib>García Fernández, Honorato</creatorcontrib><creatorcontrib>Quevedo Juanals, Julia</creatorcontrib><creatorcontrib>Díaz Medina, Sergio</creatorcontrib><creatorcontrib>Serra Soler, Guillermo</creatorcontrib><creatorcontrib>Burguera González, Bartolomé</creatorcontrib><creatorcontrib>Codina Marcet, Mercedes</creatorcontrib><creatorcontrib>Mena Ribas, Elena</creatorcontrib><creatorcontrib>Urgeles Planella, Juan Ramón</creatorcontrib><creatorcontrib>Pereg Macazaga, Vicente</creatorcontrib><title>Routine performance of thyroid ultrasound and fine-needle aspiration biopsy in the setting of a high-resolution endocrinology practice</title><title>Endocrinologia y nutricion</title><addtitle>Endocrinol Nutr</addtitle><description>Fine-needle aspiration biopsy (FNAB) is considered the reference diagnostic procedure for thyroid nodules.
Routine performance of thyroid ultrasound and ultrasound-guided FNAB by endocrinologists allows a more efficient approach in the setting of a high-resolution practice, thus reducing costs and the time elapsed until diagnosis.
We present our initial results of this procedure 2 years after its introduction, with a total of 286 biopsies performed. After a progressive learning curve over time and according to the endocrinologists' previous experience, 72.72% samples were considered satisfactory for diagnosis. Greater difficulty was observed in obtaining optimal cytological specimens in smaller nodules. In conclusion, we have successfully incorporated thyroid ultrasound and ultrasound-guided FNAB into routine endocrine practice.
Routine performance of thyroid ultrasound in endocrine practice will considerably aid the management of nodular thyroid disease.</description><subject>Adenocarcinoma, Follicular - diagnostic imaging</subject><subject>Adenocarcinoma, Follicular - epidemiology</subject><subject>Adenocarcinoma, Follicular - pathology</subject><subject>Adenoma - diagnostic imaging</subject><subject>Adenoma - epidemiology</subject><subject>Adenoma - pathology</subject><subject>Adult</subject><subject>Biopsy, Fine-Needle - adverse effects</subject><subject>Biopsy, Fine-Needle - methods</subject><subject>Biopsy, Fine-Needle - utilization</subject><subject>Carcinoma, Papillary - diagnostic imaging</subject><subject>Carcinoma, Papillary - epidemiology</subject><subject>Carcinoma, Papillary - pathology</subject><subject>Cysts - diagnostic imaging</subject><subject>Cysts - epidemiology</subject><subject>Cysts - pathology</subject><subject>Endocrinology - organization & administration</subject><subject>Female</subject><subject>Goiter, Nodular - diagnostic imaging</subject><subject>Goiter, Nodular - pathology</subject><subject>Hematoma - etiology</subject><subject>Hospital Departments</subject><subject>Hospitals, University - organization & administration</subject><subject>Humans</subject><subject>Lymphoma, Non-Hodgkin - diagnostic imaging</subject><subject>Lymphoma, Non-Hodgkin - epidemiology</subject><subject>Lymphoma, Non-Hodgkin - pathology</subject><subject>Male</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - diagnostic imaging</subject><subject>Pregnancy Complications - pathology</subject><subject>Spain - epidemiology</subject><subject>Syncope, Vasovagal - etiology</subject><subject>Thyroid Diseases - diagnostic imaging</subject><subject>Thyroid Diseases - pathology</subject><subject>Thyroid Neoplasms - diagnostic imaging</subject><subject>Thyroid Neoplasms - epidemiology</subject><subject>Thyroid Neoplasms - pathology</subject><subject>Ultrasonography, Interventional - utilization</subject><issn>1575-0922</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kMtOwzAQRb0A0VL4A4S8Y5XgR53ES1Txkiohoe6rqT1pXSV2sJNFfoDvJoWyGF1pdOboagi54yznjBePxxy9DX7IBWM65yJnjF-QOVelypgWYkauUzoyJpSW4orMBOOyUrqYk-_PMPTOI-0w1iG24A3SUNP-MMbgLB2aPkIKg7cUpqknNPOItkEKqXMRehc83bnQpZE6P90hTdhPyv1JA_Tg9ocsYgrN8IueiprofGjCfqRdBNM7gzfksoYm4e05F2Tz8rxZvWXrj9f31dM665QqMmOt2Yla7wCtUCXYpdIAphBCQ8EAlay4MEtTK6sLUQmQ00pXvCyUVAi1XJCHP20Xw9eAqd-2LhlsGvAYhrQtpZQlZwWbyPszOexatNsuuhbiuP3_nPwBQ8Z0Mg</recordid><startdate>201002</startdate><enddate>201002</enddate><creator>Tofé Povedano, Santiago</creator><creator>Argüelles Jiménez, Iñaki</creator><creator>García Fernández, Honorato</creator><creator>Quevedo Juanals, Julia</creator><creator>Díaz Medina, Sergio</creator><creator>Serra Soler, Guillermo</creator><creator>Burguera González, Bartolomé</creator><creator>Codina Marcet, Mercedes</creator><creator>Mena Ribas, Elena</creator><creator>Urgeles Planella, Juan Ramón</creator><creator>Pereg Macazaga, Vicente</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201002</creationdate><title>Routine performance of thyroid ultrasound and fine-needle aspiration biopsy in the setting of a high-resolution endocrinology practice</title><author>Tofé Povedano, Santiago ; Argüelles Jiménez, Iñaki ; García Fernández, Honorato ; Quevedo Juanals, Julia ; Díaz Medina, Sergio ; Serra Soler, Guillermo ; Burguera González, Bartolomé ; Codina Marcet, Mercedes ; Mena Ribas, Elena ; Urgeles Planella, Juan Ramón ; Pereg Macazaga, Vicente</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p556-cddcb2f9baed257ad459aac6229a60ae53812c4cf5d96282a3e5398176535eaf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>spa</language><creationdate>2010</creationdate><topic>Adenocarcinoma, Follicular - diagnostic imaging</topic><topic>Adenocarcinoma, Follicular - epidemiology</topic><topic>Adenocarcinoma, Follicular - pathology</topic><topic>Adenoma - diagnostic imaging</topic><topic>Adenoma - epidemiology</topic><topic>Adenoma - pathology</topic><topic>Adult</topic><topic>Biopsy, Fine-Needle - adverse effects</topic><topic>Biopsy, Fine-Needle - methods</topic><topic>Biopsy, Fine-Needle - utilization</topic><topic>Carcinoma, Papillary - diagnostic imaging</topic><topic>Carcinoma, Papillary - epidemiology</topic><topic>Carcinoma, Papillary - pathology</topic><topic>Cysts - diagnostic imaging</topic><topic>Cysts - epidemiology</topic><topic>Cysts - pathology</topic><topic>Endocrinology - organization & administration</topic><topic>Female</topic><topic>Goiter, Nodular - diagnostic imaging</topic><topic>Goiter, Nodular - pathology</topic><topic>Hematoma - etiology</topic><topic>Hospital Departments</topic><topic>Hospitals, University - organization & administration</topic><topic>Humans</topic><topic>Lymphoma, Non-Hodgkin - diagnostic imaging</topic><topic>Lymphoma, Non-Hodgkin - epidemiology</topic><topic>Lymphoma, Non-Hodgkin - pathology</topic><topic>Male</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - diagnostic imaging</topic><topic>Pregnancy Complications - pathology</topic><topic>Spain - epidemiology</topic><topic>Syncope, Vasovagal - etiology</topic><topic>Thyroid Diseases - diagnostic imaging</topic><topic>Thyroid Diseases - pathology</topic><topic>Thyroid Neoplasms - diagnostic imaging</topic><topic>Thyroid Neoplasms - epidemiology</topic><topic>Thyroid Neoplasms - pathology</topic><topic>Ultrasonography, Interventional - utilization</topic><toplevel>online_resources</toplevel><creatorcontrib>Tofé Povedano, Santiago</creatorcontrib><creatorcontrib>Argüelles Jiménez, Iñaki</creatorcontrib><creatorcontrib>García Fernández, Honorato</creatorcontrib><creatorcontrib>Quevedo Juanals, Julia</creatorcontrib><creatorcontrib>Díaz Medina, Sergio</creatorcontrib><creatorcontrib>Serra Soler, Guillermo</creatorcontrib><creatorcontrib>Burguera González, Bartolomé</creatorcontrib><creatorcontrib>Codina Marcet, Mercedes</creatorcontrib><creatorcontrib>Mena Ribas, Elena</creatorcontrib><creatorcontrib>Urgeles Planella, Juan Ramón</creatorcontrib><creatorcontrib>Pereg Macazaga, Vicente</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Endocrinologia y nutricion</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tofé Povedano, Santiago</au><au>Argüelles Jiménez, Iñaki</au><au>García Fernández, Honorato</au><au>Quevedo Juanals, Julia</au><au>Díaz Medina, Sergio</au><au>Serra Soler, Guillermo</au><au>Burguera González, Bartolomé</au><au>Codina Marcet, Mercedes</au><au>Mena Ribas, Elena</au><au>Urgeles Planella, Juan Ramón</au><au>Pereg Macazaga, Vicente</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Routine performance of thyroid ultrasound and fine-needle aspiration biopsy in the setting of a high-resolution endocrinology practice</atitle><jtitle>Endocrinologia y nutricion</jtitle><addtitle>Endocrinol Nutr</addtitle><date>2010-02</date><risdate>2010</risdate><volume>57</volume><issue>2</issue><spage>43</spage><epage>48</epage><pages>43-48</pages><issn>1575-0922</issn><abstract>Fine-needle aspiration biopsy (FNAB) is considered the reference diagnostic procedure for thyroid nodules.
Routine performance of thyroid ultrasound and ultrasound-guided FNAB by endocrinologists allows a more efficient approach in the setting of a high-resolution practice, thus reducing costs and the time elapsed until diagnosis.
We present our initial results of this procedure 2 years after its introduction, with a total of 286 biopsies performed. After a progressive learning curve over time and according to the endocrinologists' previous experience, 72.72% samples were considered satisfactory for diagnosis. Greater difficulty was observed in obtaining optimal cytological specimens in smaller nodules. In conclusion, we have successfully incorporated thyroid ultrasound and ultrasound-guided FNAB into routine endocrine practice.
Routine performance of thyroid ultrasound in endocrine practice will considerably aid the management of nodular thyroid disease.</abstract><cop>Spain</cop><pmid>20138596</pmid><doi>10.1016/j.endonu.2009.12.001</doi><tpages>6</tpages></addata></record> |
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subjects | Adenocarcinoma, Follicular - diagnostic imaging Adenocarcinoma, Follicular - epidemiology Adenocarcinoma, Follicular - pathology Adenoma - diagnostic imaging Adenoma - epidemiology Adenoma - pathology Adult Biopsy, Fine-Needle - adverse effects Biopsy, Fine-Needle - methods Biopsy, Fine-Needle - utilization Carcinoma, Papillary - diagnostic imaging Carcinoma, Papillary - epidemiology Carcinoma, Papillary - pathology Cysts - diagnostic imaging Cysts - epidemiology Cysts - pathology Endocrinology - organization & administration Female Goiter, Nodular - diagnostic imaging Goiter, Nodular - pathology Hematoma - etiology Hospital Departments Hospitals, University - organization & administration Humans Lymphoma, Non-Hodgkin - diagnostic imaging Lymphoma, Non-Hodgkin - epidemiology Lymphoma, Non-Hodgkin - pathology Male Pregnancy Pregnancy Complications - diagnostic imaging Pregnancy Complications - pathology Spain - epidemiology Syncope, Vasovagal - etiology Thyroid Diseases - diagnostic imaging Thyroid Diseases - pathology Thyroid Neoplasms - diagnostic imaging Thyroid Neoplasms - epidemiology Thyroid Neoplasms - pathology Ultrasonography, Interventional - utilization |
title | Routine performance of thyroid ultrasound and fine-needle aspiration biopsy in the setting of a high-resolution endocrinology practice |
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