Chirurgie des nodules de la glande thyroïde : valeur diagnostique prédictive de la cytologie et de l’examen histopathologique extemporané

The importance of using fine-needle aspiration cytology in the diagnosis of thyroid nodules

“…Most previous studies reported high degree of specificity (74%–100%) [ [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] , [24] ] and acceptable degree of sensitivity, ranging between 61% and 100% [ [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] , [24] ]. Concordance between FNAC and histological examination of surgical specimen is good to perfect, with Kappa index of 0.67–0.96 [ [11] , [12] , [13] , [15] , [16] , [17] , [18] , [19] , 21 ], which is consistent with our findings.…”

“…Rare studies have found no encouraging results [ 14 , 17 , 18 , 22 , 23 ], these series were unicentric, considering a small number of cases, and showing a high rate of non diagnostic cytology, reaching 20%, which explain the large number of false negative cases and in consequence the decrease of the sensibility [ 14 , 17 , 18 , 22 , 23 ] ( Table 3 ).…”

“…et al [ 16 ] 253 67.2 73,7 0,67 Nicholas J. et al [ 17 ] 199 61 100 0,96 Slowinska D. et al [ 18 ] 3572 69 86 0,86 Lioe TF. et al [ 19 ] 208 91 94 – Leenhardt L. et al [ 20 ] 450 94 63 0,95 Prades J.-M et al [ 21 ] 202 55,8 99,1 – Guevara N et al [ 22 ] 252 39,1 100 – Sellami M et al [ 23 ] 117 100 67 – Yang et al [ 24 ] 4703 94 98.5 – Gupta et al [ 25 ] 75 80 86.6 – Bukhari et al [ 26 ] 120 100 82.5 – …”