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Article: A prospective controlled study of fine-needle aspiration and Tru-cut® needle biopsy of dominant thyroid nodules

TitleA prospective controlled study of fine-needle aspiration and Tru-cut® needle biopsy of dominant thyroid nodules
Authors
Issue Date1984
PublisherSpringer New York LLC. The Journal's web site is located at http://link.springer.de/link/service/journals/00268/
Citation
World Journal Of Surgery, 1984, v. 8 n. 4, p. 458-465 How to Cite?
AbstractIn order to evaluate the relative merits of fine-needle aspiration (FNA) and Tru-cut® needle biopsy (TNB), we conducted a prospective controlled trial in 384 patients who had dominant thyroid nodules. FNA had a slightly higher diagnostic yield and fewer complications than TNB. Definitive confirmation of the biopsy diagnoses was obtained in 41.1% of the patients. Both techniques achieved a very high degree of overall accuracy, and false-positive errors among non-follicular lesions occurred only in cases labeled as possibly malignant. However, neither method could reliably distinguish between a benign and malignant follicular neoplasm. Including follicular neoplasms as suspicious for malignancy, the individual sensitivity rates for cancer were 86.5% and 91.9% for FNA and TNB, respectively. The combined use of FNA and TNB, however, detected 97.3% of the 37 malignancies. Rather than demonstrating any overwhelming relative advantage, this study would support the use of both FNA and TNB to investigate dominant nodules. When combined with clinical information and imaging studies, needle biopsy can reduce the number of unnecessary operations without seriously compromising the removal of thyroid cancers.
Persistent Identifierhttp://hdl.handle.net/10722/147750
ISSN
2023 Impact Factor: 2.3
2023 SCImago Journal Rankings: 0.772
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorBoey, Jen_HK
dc.contributor.authorHsu, Cen_HK
dc.contributor.authorCollins, RJen_HK
dc.contributor.authorWong, Jen_HK
dc.date.accessioned2012-05-29T06:09:03Z-
dc.date.available2012-05-29T06:09:03Z-
dc.date.issued1984en_HK
dc.identifier.citationWorld Journal Of Surgery, 1984, v. 8 n. 4, p. 458-465en_HK
dc.identifier.issn0364-2313en_HK
dc.identifier.urihttp://hdl.handle.net/10722/147750-
dc.description.abstractIn order to evaluate the relative merits of fine-needle aspiration (FNA) and Tru-cut® needle biopsy (TNB), we conducted a prospective controlled trial in 384 patients who had dominant thyroid nodules. FNA had a slightly higher diagnostic yield and fewer complications than TNB. Definitive confirmation of the biopsy diagnoses was obtained in 41.1% of the patients. Both techniques achieved a very high degree of overall accuracy, and false-positive errors among non-follicular lesions occurred only in cases labeled as possibly malignant. However, neither method could reliably distinguish between a benign and malignant follicular neoplasm. Including follicular neoplasms as suspicious for malignancy, the individual sensitivity rates for cancer were 86.5% and 91.9% for FNA and TNB, respectively. The combined use of FNA and TNB, however, detected 97.3% of the 37 malignancies. Rather than demonstrating any overwhelming relative advantage, this study would support the use of both FNA and TNB to investigate dominant nodules. When combined with clinical information and imaging studies, needle biopsy can reduce the number of unnecessary operations without seriously compromising the removal of thyroid cancers.en_HK
dc.languageengen_US
dc.publisherSpringer New York LLC. The Journal's web site is located at http://link.springer.de/link/service/journals/00268/en_HK
dc.relation.ispartofWorld Journal of Surgeryen_HK
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshBiopsy, Needle - Methodsen_US
dc.subject.meshChilden_US
dc.subject.meshFalse Negative Reactionsen_US
dc.subject.meshFalse Positive Reactionsen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshThyroid Gland - Pathologyen_US
dc.subject.meshThyroid Neoplasms - Pathologyen_US
dc.titleA prospective controlled study of fine-needle aspiration and Tru-cut® needle biopsy of dominant thyroid nodulesen_HK
dc.typeArticleen_HK
dc.identifier.emailCollins, RJ: rcollins@hkucc.hku.hken_HK
dc.identifier.emailWong, J: jwong@hkucc.hku.hken_HK
dc.identifier.authorityCollins, RJ=rp00251en_HK
dc.identifier.authorityWong, J=rp00322en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1007/BF01654913-
dc.identifier.pmid6485346-
dc.identifier.scopuseid_2-s2.0-0021633352en_HK
dc.identifier.volume8en_HK
dc.identifier.issue4en_HK
dc.identifier.spage458en_HK
dc.identifier.epage465en_HK
dc.identifier.isiWOS:A1984TE20000005-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridBoey, J=7003838670en_HK
dc.identifier.scopusauthoridHsu, C=7404947191en_HK
dc.identifier.scopusauthoridCollins, RJ=7403350455en_HK
dc.identifier.scopusauthoridWong, J=8049324500en_HK
dc.identifier.issnl0364-2313-

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