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
Hauptverfasser: 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
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container_end_page 48
container_issue 2
container_start_page 43
container_title Endocrinologia y nutricion
container_volume 57
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
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source MEDLINE; Elsevier ScienceDirect Journals; EZB-FREE-00999 freely available EZB journals
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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