Thyroid nodules with suspicious ultrasound findings: the role of ultrasound-guided core needle biopsy

Zhang, Mingbo; Zhang, Yan; Fu, Shuai; Lv, Faqin; Tang, Jie

doi:10.1016/j.clinimag.2014.03.010

Cited by 34 publications

(34 citation statements)

References 23 publications

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“…Minor complications were also infrequent for both CNB (0.58 %) and FNA (0.15 %). The usual complications after CNB included bleeding and edema; however, in general, CNB is well-tolerated with manual compression of the biopsy site and requires no further management [8,9,11,13,20,25,26]. Previous studies also reported that both CNB and FNA are similar in terms of the pain they cause and their tolerability [27,48].…”

Section: Subgroup Analysesmentioning

confidence: 96%

“…Of these 35 articles, 15 were further excluded after reviewing the full text, i.e., three studies that did not use US-guided, spring-activated CNB [43][44][45], two studies that used CNB under palpation guidance [29,46], seven studies that were not in the field of interest [31,[47][48][49][50][51][52], and three studies with a partially overlapping patient cohort [35,38,53]. Finally, 20 eligible studies, which included a total sample size of 4580 patients and 4746 thyroid nodules, were included in this metaanalysis [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26].…”

Section: Literature Searchmentioning

confidence: 99%

“…Core-needle biopsy (CNB) has been suggested as an alternative to FNA [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] in order to resolve these limitations. In the past two decades, many studies have described the role of CNB which is known to be a feasible, effective, and well-tolerated biopsy procedure that has a low incidence of complications [27,28].…”

Section: Introductionmentioning

confidence: 99%

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The role of core-needle biopsy in the diagnosis of thyroid malignancy in 4580 patients with 4746 thyroid nodules: a systematic review and meta-analysis

et al. 2016

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To evaluate the effectiveness and complications of core-needle biopsy (CNB) compared to fine-needle aspiration (FNA) for diagnosing thyroid malignancy. The Ovid-MEDLINE and EMBASE databases were searched for studies using CNB for diagnosing thyroid malignancy. A meta-analysis was performed to evaluate the diagnostic accuracy, the incidence of non-diagnostic, inconclusive results, and the complications of CNB and FNA. To overcome the heterogeneity, additional analyses based on three, homogeneous inclusion criteria were performed and subgroup analyses were performed. Twenty eligible studies of 4580 patients (4746 nodules) were included. Both CNB and FNA demonstrated a high sensitivity (91 %, 74 %, respectively; p = .053) and specificity (99 %, 100 %, respectively; p = .914). The area under the curve was larger in CNB (0.99) than in FNA (0.94). CNB demonstrated a significantly lower pooled proportion of non-diagnostic (5.5 %; p < .001) and inconclusive results (8.0 %; p < .001) than FNA (22.6 %, 40.2 %, respectively). The complications rate of FNA (0.0 %) was lower than that of CNB (0.01 %), although not significantly (p = .948). This meta-analysis showed variable heterogeneities, i.e., no heterogeneity to considerable heterogeneity. Additional meta-analyses based on three, homogeneous inclusion criteria demonstrated that heterogeneities were reduced, and the results are in agreement with those of all of the included studies. Subgroup analyses have explained the cause of heterogeneity across studies. Both CNB and FNA may be acceptable diagnostic tools for diagnosing thyroid malignancy. CNB may be a complementary diagnostic tool in nodules with initially non-diagnostic and indeterminate results on previous FNA.

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Section: Subgroup Analysesmentioning

confidence: 96%

Section: Literature Searchmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The role of core-needle biopsy in the diagnosis of thyroid malignancy in 4580 patients with 4746 thyroid nodules: a systematic review and meta-analysis

et al. 2016

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“…Use of CNB in specific ultrasonographic presentations of thyroid nodules or in patients with peculiar clinical contexts Few papers evaluated the diagnostic utility of CNB with ultrasound risk presentation [23][24][25][26]. As the first, Ha et al [23] used CNB in thyroid nodules with previous benign FNAC outcome but having high risk at ultrasound examination.…”

Section: Use Of Cnb In Thyroid Neoplasms (Thy 3/class 3/category Iii-mentioning

confidence: 98%

Thyroid core needle biopsy: taking stock of the situation

Trimboli

Crescenzi²

2014

Endocrine

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Recently, the microhistologic evaluation by core needle biopsy (CNB) has been reported as high accurate to diagnose thyroid nodules with previous indeterminate or not adequate fine-needle aspiration cytology. In addition, sparse data have been reported regarding the use of CNB in other conditions. Aim of this review was to furnish the state of the art of this topic by summarizing published data about the diagnostic performance of CNB in thyroid lesions, and provide an easy to use reference for clinical practice. Sources encompass studies published through May 2014. Original articles were investigated and following specific aspects were discussed: 1. The "large" needle biopsy in 90's; 2. Complications by and patient's comfort with thyroid CNB; 3. Advantages provided by examination of a microhistologic sample of thyroid nodule; 4. Use of CNB in thyroid nodules with previous not adequate (Thy 1/Class 1/Category I) cytology; 5. Use of CNB in thyroid neoplasms (Thy 3/Class 3/Category III-IV) cytology; 6. Use of CNB in specific ultrasonographic presentations of thyroid nodules or in patients with peculiar clinical contexts; 7. First-line approach by CNB in thyroid nodules; 8. Immunohistochemistry and molecular tests on CNB samples; and 9. Future perspective.

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“…Core needle biopsy (CNB) has been suggested as a complementary method to FNA, mainly to overcome possible inconclusive diagnosis [6]. However, inconclusive results have still been unavoidable in CNB with reported rates of inconclusive results of 6.0-31.8 % [6][7][8][9][10][11][12][13][14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Fine-needle aspiration versus core needle biopsy for diagnosis of thyroid malignancy and neoplasm: a matched cohort study

et al. 2016

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Thyroid nodules with suspicious ultrasound findings: the role of ultrasound-guided core needle biopsy

Cited by 34 publications

References 23 publications

The role of core-needle biopsy in the diagnosis of thyroid malignancy in 4580 patients with 4746 thyroid nodules: a systematic review and meta-analysis

The role of core-needle biopsy in the diagnosis of thyroid malignancy in 4580 patients with 4746 thyroid nodules: a systematic review and meta-analysis

Thyroid core needle biopsy: taking stock of the situation

Fine-needle aspiration versus core needle biopsy for diagnosis of thyroid malignancy and neoplasm: a matched cohort study

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