Diagnostic efficacy of ultrasonography-guided fine needle aspiration cytology on thyroid swellings
Abstract Introduction Patients presenting with a thyroid nodule, if malignant, may call for removal. A good screening tool with high diagnostic value for preoperative evaluation is preferred. Through real-time visualization of the needle to aspirate from the suspicious site, ultrasonography-guided f...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-09-01
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| Series: | The Egyptian Journal of Otolaryngology |
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| Online Access: | https://doi.org/10.1186/s43163-022-00298-8 |
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| author | Mudit Gupta Kunjan Acharya Anamika Jha Prashant Triphati Bigyan Raj Gyawali Neeti Bhat Apoorva Kr. Pandey |
| author_facet | Mudit Gupta Kunjan Acharya Anamika Jha Prashant Triphati Bigyan Raj Gyawali Neeti Bhat Apoorva Kr. Pandey |
| author_sort | Mudit Gupta |
| collection | DOAJ |
| description | Abstract Introduction Patients presenting with a thyroid nodule, if malignant, may call for removal. A good screening tool with high diagnostic value for preoperative evaluation is preferred. Through real-time visualization of the needle to aspirate from the suspicious site, ultrasonography-guided fine-needle aspiration cytology could be an excellent screening tool. Materials and method A cross-sectional descriptive study was conducted at Ganesh Man Singh Memorial Academy of Ear Nose Throat–Head and Neck Studies, Kathmandu, Nepal, from September 2018 to November 2019. We included 59 subjects of 15–72 years meeting the inclusion criteria. All study participants underwent preoperative ultrasonography-guided fine-needle aspiration cytological evaluation of thyroid nodule, which was correlated with their histopathological findings to determine diagnostic values. Result The sensitivity, specificity, and accuracy of ultrasonography-guided fine-needle aspiration cytology of thyroid nodule was 96.96%, 61.53%, and 81.35%, respectively. On stratification according to size, high sensitivity of 100% was observed in evaluating lesions of size < 2 cm and > 4 cm. There was a good inter-rater agreement between findings of ultrasonography-guided fine-needle aspiration cytology and histopathology with a kappa coefficient of 0.607. Conclusion Ultrasonography-guided fine needle aspiration cytology is a reliable procedure to evaluate thyroid lesions with high diagnostic value. It is an excellent tool for evaluating small, non-palpable nodules. |
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| institution | Directory Open Access Journal |
| issn | 1012-5574 2090-8539 |
| language | English |
| last_indexed | 2024-04-24T08:36:37Z |
| publishDate | 2022-09-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Otolaryngology |
| spelling | doaj.art-4a684725c8864c4399deef0f9a79fb262024-04-16T16:18:13ZengSpringerOpenThe Egyptian Journal of Otolaryngology1012-55742090-85392022-09-013811510.1186/s43163-022-00298-8Diagnostic efficacy of ultrasonography-guided fine needle aspiration cytology on thyroid swellingsMudit Gupta0Kunjan Acharya1Anamika Jha2Prashant Triphati3Bigyan Raj Gyawali4Neeti Bhat5Apoorva Kr. Pandey6Department of ENT- Head & Neck Surgery, Shri Guru Ram Rai Institute of Medical & Health Sciences, S.G.R.R. University, DehradunDepartment of ENT- Head & Neck Surgery, Tribhuvan University Teaching Hospital, Institute of Medicine, Tribhuvan UniversityDepartment of Radiology, Tribhuvan University Teaching Hospital, Institute of Medicine, Tribhuvan UniversityDepartment of ENT- Head & Neck Surgery, Tribhuvan University Teaching Hospital, Institute of Medicine, Tribhuvan UniversityDepartment of ENT- Head & Neck Surgery, Tribhuvan University Teaching Hospital, Institute of Medicine, Tribhuvan UniversityDepartment of Clinical Physiology, Madan Bhandari Academy of Health SciencesDepartment of ENT- Head & Neck Surgery, Shri Guru Ram Rai Institute of Medical & Health Sciences, S.G.R.R. University, DehradunAbstract Introduction Patients presenting with a thyroid nodule, if malignant, may call for removal. A good screening tool with high diagnostic value for preoperative evaluation is preferred. Through real-time visualization of the needle to aspirate from the suspicious site, ultrasonography-guided fine-needle aspiration cytology could be an excellent screening tool. Materials and method A cross-sectional descriptive study was conducted at Ganesh Man Singh Memorial Academy of Ear Nose Throat–Head and Neck Studies, Kathmandu, Nepal, from September 2018 to November 2019. We included 59 subjects of 15–72 years meeting the inclusion criteria. All study participants underwent preoperative ultrasonography-guided fine-needle aspiration cytological evaluation of thyroid nodule, which was correlated with their histopathological findings to determine diagnostic values. Result The sensitivity, specificity, and accuracy of ultrasonography-guided fine-needle aspiration cytology of thyroid nodule was 96.96%, 61.53%, and 81.35%, respectively. On stratification according to size, high sensitivity of 100% was observed in evaluating lesions of size < 2 cm and > 4 cm. There was a good inter-rater agreement between findings of ultrasonography-guided fine-needle aspiration cytology and histopathology with a kappa coefficient of 0.607. Conclusion Ultrasonography-guided fine needle aspiration cytology is a reliable procedure to evaluate thyroid lesions with high diagnostic value. It is an excellent tool for evaluating small, non-palpable nodules.https://doi.org/10.1186/s43163-022-00298-8AccuracyCytologyFine needleThyroid noduleUltrasonography |
| spellingShingle | Mudit Gupta Kunjan Acharya Anamika Jha Prashant Triphati Bigyan Raj Gyawali Neeti Bhat Apoorva Kr. Pandey Diagnostic efficacy of ultrasonography-guided fine needle aspiration cytology on thyroid swellings The Egyptian Journal of Otolaryngology Accuracy Cytology Fine needle Thyroid nodule Ultrasonography |
| title | Diagnostic efficacy of ultrasonography-guided fine needle aspiration cytology on thyroid swellings |
| title_full | Diagnostic efficacy of ultrasonography-guided fine needle aspiration cytology on thyroid swellings |
| title_fullStr | Diagnostic efficacy of ultrasonography-guided fine needle aspiration cytology on thyroid swellings |
| title_full_unstemmed | Diagnostic efficacy of ultrasonography-guided fine needle aspiration cytology on thyroid swellings |
| title_short | Diagnostic efficacy of ultrasonography-guided fine needle aspiration cytology on thyroid swellings |
| title_sort | diagnostic efficacy of ultrasonography guided fine needle aspiration cytology on thyroid swellings |
| topic | Accuracy Cytology Fine needle Thyroid nodule Ultrasonography |
| url | https://doi.org/10.1186/s43163-022-00298-8 |
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