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Updated: Jul 13, 2026
Substernal Thyroid Biopsy Using Endobronchial Ultrasound-guided Transbronchial Needle Aspiration
Published on: November 10, 2014
Percutaneous large-needle aspiration biopsy histology of palpable thyroid nodules: technical and diagnostic
A Carpi1, A Nicolini, C Marchetti
1Department of Reproduction and Ageing, University Hospital, Pisa, Italy. a.carpi@med.unipi.it
Aim:
To report original and review existing data on safety and performance of large-needle aspiration biopsy (LNAB) histology in the preoperative selection of palpable thyroid nodule.
Methods And Results:
The English literature and original data were reviewed or analysed. The literature on LNAB of thyroid nodules did not report any complications. A study on needle dimensions has explained why LNAB obtains more tissue than fine-needle aspiration (FNA) and is safe. LNAB histology has higher specificity than FNA cytology and markedly reduces the number of inadequate and indeterminate FNA findings. A comparison of 150 FNA-derived cell blocks with 200 LNAB-derived histological blocks after galectin-3 determination in a large nationwide (Italian) study has shown that one to two sections in 10% of the FNA cell blocks and at least five sections in 90% of the LNAB blocks were available for further determinations of thyroid tumour markers.
Conclusion:
LNAB merits further consideration for the preoperative selection of thyroid nodules.