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[A prospective study of thyroid nodules]

J M Manresa1, R Caballol, J J Sirvent

  • 1Hospital de Tortosa Verge de la Cinta, Tarragona.

Atencion Primaria
|September 15, 1993
PubMed
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This study evaluated ultrasound and fine-needle aspiration (FNA) for thyroid nodules, effectively selecting patients for surgery and reducing complications. The procedure improved patient selection for thyroid nodule interventions.

Area of Science:

  • Endocrinology
  • Diagnostic Imaging
  • Surgical Oncology

Background:

  • Thyroid nodules (TN) are common, requiring accurate diagnostic methods to determine surgical necessity.
  • Distinguishing benign from malignant nodules is crucial for appropriate patient management and avoiding unnecessary procedures.

Purpose of the Study:

  • To assess the efficacy of echography and fine-needle aspiration (PAFN) in selecting patients with thyroid nodules for surgery.
  • To evaluate the diagnostic accuracy and impact of this procedure on surgical outcomes and resource utilization.

Main Methods:

  • A prospective, descriptive study involving 71 patients with thyroid nodules.
  • Utilized echography and fine-needle aspiration (PAFN) for nodule investigation in outpatient clinics.
  • Compared cytological findings with histological results for concordance.

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Main Results:

  • The procedure correctly identified benign (94.4%) and malignant (5.6%) thyroid nodules.
  • PAFN demonstrated 50% sensitivity and 88% specificity.
  • Surgical intervention was performed on 25% of patients, with 22% of operated cases revealing carcinoma.

Conclusions:

  • The implemented procedure effectively selected patients with malignant or suspicious thyroid nodules for surgery.
  • This approach led to a significant reduction in surgical morbidity and healthcare expenditure.