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Updated: Jun 11, 2025
10:19
Substernal Thyroid Biopsy Using Endobronchial Ultrasound-guided Transbronchial Needle Aspiration
Published on: November 10, 2014
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THE IMPACT OF PATIENT ANXIETY AND PAIN PERCEPTION ON THE ADEQUACY OF THYROID FINE-NEEDLE ASPIRATION BIOPSY SAMPLES: A
M C Şenoymak1, N H Erbatur1, I Engin1
1University of Health Sciences, Sultan Abdülhamid Han Training and Research Hospital, Istanbul, Turkey.
Acta Endocrinologica (Bucharest, Romania : 2005)
|October 7, 2024
Summary
High situational anxiety and pain during thyroid fine-needle aspiration biopsy (FNAB) correlate with non-diagnostic results. Managing patient anxiety and pain may improve biopsy adequacy and reduce repeat procedures.
Area of Science:
- Endocrinology
- Cytopathology
- Medical Psychology
Background:
- Fine-needle aspiration biopsy (FNAB) is crucial for assessing thyroid nodule malignancy risk.
- Non-diagnostic FNAB results can lead to diagnostic delays, unnecessary interventions, and patient distress.
Purpose of the Study:
- To investigate the correlation between situational anxiety, pain perception, and non-diagnostic cytology results in thyroid FNAB.
- To identify potential risk factors for inadequate specimen collection during thyroid biopsies.
Main Methods:
- A prospective study involving 119 patients undergoing thyroid FNAB.
- Situational anxiety assessed using the State-Trait Anxiety Inventory (STAI-S).
- Pain perception evaluated using the visual analogue scale (VAS).
Main Results:
- 21% of thyroid FNABs were non-diagnostic.
- Significant correlations found between STAI-S scores, VAS scores, and non-diagnostic results (p=0.001, p=0.008).
- High pre-procedural anxiety and VAS scores were independently associated with non-diagnostic cytology (multivariate analysis).
Conclusions:
- Patient anxiety and pain perception are potential risk factors for non-diagnostic thyroid FNAB.
- Interventions to reduce anxiety and pain may improve specimen adequacy and decrease non-diagnostic outcomes.
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