A Rare and Severe Complication Following Thyroid Fine Needle Aspiration: Retropharyngeal Cellulitis

Cesáreo, R.; Naciu, Anda Mihaela; Barberi, Antonio; Pasqualini, Valerio; Pelle, Giuseppe; Manfrini, Silvia; Tabacco, Gaia; Pantano, Angelo Lauria; Campagna, Giuseppe; Cianni, Roberto; Palermo, Andrea

doi:10.5812/ijem.39174

Cited by 6 publications

(5 citation statements)

References 19 publications

(22 reference statements)

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“…[3,4] In addition, FNA has significant associated risks and medical expenses. [5] Thus, the ability to predict thyroid nodules which are likely to be benign would be beneficial as it would decrease the rate of unnecessary FNA.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound image analysis using deep learning algorithm for the diagnosis of thyroid nodules

et al. 2019

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Section: Introductionmentioning

confidence: 99%

Ultrasound image analysis using deep learning algorithm for the diagnosis of thyroid nodules

et al. 2019

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“…In our patient, malignant cell scattering was not possible, since it was not a malignant thyroid disease. A case of a 35-year-old woman who was admitted to the hospital after a three-day vocal roughness, laryngeal stridor and dyspnea without fever, was reported after FNA was performed, which was confirmed with retropharyngeal cellulitis [7,8]. A 35-year-old man was examined because of painless edema, which gradually increased on the right side of the neck after FNA.…”

Section: Discussionmentioning

confidence: 99%

Hypothyroidism after fine needle aspiration biopsy of thyroid nodules: A case report

Prodanović-Simeunović¹,

Icin²,

Popović³

et al. 2019

Med pregl

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Introduction. Fine needle aspiration biopsy is a non-surgical invasive diagnostic method for the cytological evaluation of the thyroid gland. Complications of fine needle aspiration biopsy are rare. Case Report. A female patient, 64 years of age, underwent left-sided nodulectomy in 2006, due to a follicular adenoma of the thyroid gland. In September of 2016, ultrasonography of the thyroid gland confirmed a node in the right lobe, approximately 10 mm in the longest diameter. The thyroid-stimulating hormone level was within the reference range (1,8 mIU/L), as well as calcitonin and carcinoembryonic antigen levels, but with elevated anti-thyroid peroxidase antibodies and anti-thyroglobulin antibodies, so fine needle aspiration was indicated. The cytological finding indicated a suspected follicular lesion and total thyroidectomy with an ex tempore biopsy was proposed in November of 2016. Prior to the surgery, hormone levels were measured and high thyroid-stimulating hormone levels were recorded (79 mIU/L). Further investigation showed low levels of free thyroid hormone concentrations, and levothyroxine was initiated at a dose of 75 mcg per day and the surgical treatment was delayed. The indicated dose of levothyroxine resulted in satisfactory values of the thyroid gland free hormones, and in February 2017, right-sided lobectomy was performed, whereas the histopathological findings indicated lymphocytic thyroiditis. Levothyroxine replacement therapy showed satisfactory results in the postoperative period. Further outpatient ultrasonographic monitoring showed a residual thyroid tissue, with slightly non-homogeneous echostructure in the left thyroid bed, 12 x 11 x 32 mm in size. Regular follow-up was suggested. Conclusion. Hypothyroidism has not been reported as a fine needle aspiration complication in the available literature.

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“…There was also a report of serious complications of retropharyngeal cellulitis. 26 The operation of AI is relatively simple and easy to carry out clinically. CEUS can further evaluate the microblood flow distribution of thyroid nodules.…”

Section: Discussionmentioning

confidence: 99%

“…FNA is an invasive operation, and there is a risk of complications, including bleeding, pain, etc. There was also a report of serious complications of retropharyngeal cellulitis 26 . The operation of AI is relatively simple and easy to carry out clinically.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Value of Artificial Intelligence‐Assistant Diagnostic System Combined With Contrast‐Enhanced Ultrasound in Thyroid TI‐RADS 4 Nodules

Gong

Xin

Yin

et al. 2023

J of Ultrasound Medicine

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Objectives This study evaluated the diagnostic value of artificial intelligence‐assistant diagnostic system combined with contrast‐enhanced ultrasound in The American College of Radiology Thyroid Imaging, Reporting and Data System (ACR TI‐RADS) 4 category thyroid nodules. Methods Thyroid nodules that were evaluated as ACR TI‐RADS 4 by conventional ultrasound were selected, all of which had pathological or fine needle aspiration (FNA) results. All nodules were examined by contrast‐enhanced ultrasound (CEUS) and artificial intelligence (AI) analysis. The sensitivity, specificity, accuracy, positive predictive value (PPV) and negative predictive value (NPV) of AI, CEUS and their combined diagnosis were compared; Analyzed and compared the diagnostic efficiency of AI, CEUS and their combined diagnosis. Results A total of 148 thyroid nodules were included in 140 patients, including 58 malignant nodules and 89 benign nodules. The sensitivity of combined diagnosis was significantly higher than that of AI or CEUS alone (P < .05). The NPV of AI, CEUS and combined diagnosis were statistically significant (P < .05). There was no significant difference in the diagnostic efficacy between AI and CEUS (P > .05), but there was a significant difference in NPV between AI and combined diagnosis (P < .05). The AUC of the combined diagnosis was 0.859, which was higher than that of AI, CEUS alone. Conclusions AI has a high diagnostic efficiency, which was helpful for radiologists to make rapid assessment. AI combined CEUS can significantly improve the diagnostic sensitivity and NPV, which was beneficial for the early detection of malignant nodules.

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A Rare and Severe Complication Following Thyroid Fine Needle Aspiration: Retropharyngeal Cellulitis

Cited by 6 publications

References 19 publications

Ultrasound image analysis using deep learning algorithm for the diagnosis of thyroid nodules

Ultrasound image analysis using deep learning algorithm for the diagnosis of thyroid nodules

Hypothyroidism after fine needle aspiration biopsy of thyroid nodules: A case report

Diagnostic Value of Artificial Intelligence‐Assistant Diagnostic System Combined With Contrast‐Enhanced Ultrasound in Thyroid TI‐RADS 4 Nodules

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