Ultrasound-guided fine needle aspiration versus non-aspiration techniques in the evaluation of solid thyroid nodules

Heidar, Mustafa; Aziz, Mohammad Ali Abd El; Mansour, Mohamed G.; Farid, Mostafa; El-Sayed, Hesham

doi:10.1186/s43055-022-00820-1

Cited by 2 publications

(2 citation statements)

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“…The percentage of non-diagnostic samples was higher with FNAC (12.5%) compared to FNNAC (0%). The reported p-value of 0.024 suggests that there was a statistically significant difference between the two techniques (8).…”

Section: Discussionmentioning

confidence: 97%

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Comparison of the Efficacy and the Safety between Suction and Non-Suction Techniques of Fine Needle Cellular Biopsy of the Thyroid Nodules

Khater,

Elsayed,

Hosny Faheem

2023

Benha Medical Journal

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Background: Fine needle aspiration with adequate cytological evaluation has contributed to reduction of unnecessary thyroid surgeries for benign nodules of up to 50 %. This study aimed to compare the diagnostic efficacy and accuracy between suction and non-suction technique of fine needle cellular biopsy of the thyroid nodules. Methods: This prospective study included patients with thyroid nodules warranting FNAC based on TIRADS classification. The selected nodules were aspirated under ultrasound guidance at least twice, using both FNA+P and FNA-P techniques. The adequacy and diagnostic value of the cytological samples were assessed by two blinded cytologists. Complications were recorded, and immediate complications were linked to specific needle passes. Results: The mean age was 32.08 ± 7.83 years. 47% of the subjects were younger than 30 years, 35% were between 31 and 40 years, and 18% were older than 40 years. There was a significant higher number of cases under the age of 30 years (p=0.002). 92% of the subjects were female and 8% were male. There was a significant difference in gender distribution, with more females than males included in the study (p<0.001). Fine needle aspiration with suction showed higher sensitivity (97.53%), accuracy (97%), PPV (94.88) and NPV (97.46%) compared to non-suction technique. Both techniques had high AUC for predicting adequate diagnosis (p <0.001). Conclusion: FNA with suction demonstrated significantly higher adequacy in diagnosis prediction compared to non-suction technique. Moreover, fine needle aspiration with suction showed higher sensitivity, accuracy, PPV, and NPV compared to the non-suction technique.

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Section: Discussionmentioning

confidence: 97%

“…Two passes were performed for both the non-aspiration (FNNAC) and aspiration (FNAC) techniques. Forty-eight patients (41 (85%)females, 7(15%) males, median age in women were 47.1, median age in males was 50.6, age range 18-70, age range in females 18-70, age range in males 33-62) with solid thyroid nodules (8).…”

Section: Discussionmentioning

confidence: 99%