A Comparison of Ultrasound-Guided Fine Needle Aspiration versus Core Needle Biopsy for Thyroid Nodules: Pain, Tolerability, and Complications
BackgroundTo compare pain, tolerability, and complications associated with fine needle aspiration (FNA) versus core needle biopsy (CNB).MethodsFNAs were performed using 23-gauge needles and CNBs were performed using 18-gauge double-action spring-activated needles in 100 patients for each procedure....
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| Format: | Article |
| Language: | English |
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Korean Endocrine Society
2018-03-01
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| Series: | Endocrinology and Metabolism |
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| Online Access: | https://e-enm.org/Synapse/Data/PDFData/2008ENM/enm-33-114.pdf |
| _version_ | 1818350584254693376 |
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| author | Eun Ji Jeong Sae Rom Chung Jung Hwan Baek Young Jun Choi Jae Kyun Kim Jeong Hyun Lee |
| author_facet | Eun Ji Jeong Sae Rom Chung Jung Hwan Baek Young Jun Choi Jae Kyun Kim Jeong Hyun Lee |
| author_sort | Eun Ji Jeong |
| collection | DOAJ |
| description | BackgroundTo compare pain, tolerability, and complications associated with fine needle aspiration (FNA) versus core needle biopsy (CNB).MethodsFNAs were performed using 23-gauge needles and CNBs were performed using 18-gauge double-action spring-activated needles in 100 patients for each procedure. Patients were asked to record a pain score using a 10-cm visual analog scale and procedure tolerability. Complications and number of biopsies were recorded.ResultsThe median pain scores were similar for the FNA and CNB approaches during and 20 minutes after the biopsy procedures (3.7 vs. 3.6, P=0.454; 0.9 vs. 1.1, P=0.296, respectively). The procedure was tolerable in all 100 FNA patients and in 97 CNB patients (P=0.246). The mean number of biopsies was fewer in the CNB group (1.4 vs. 1.2, P=0.002). By subgroup analysis (staff vs. non-staff), no significant difference was detected in any parameter. There were no major complications in either group, but three patients who underwent CNB had minor complications (P=0.246).ConclusionFNA and CNB show no significant differences for diagnosing thyroid nodules in terms of pain, tolerability, or complications. |
| first_indexed | 2024-12-13T18:24:10Z |
| format | Article |
| id | doaj.art-b79ff26484aa4ee6bf9597daca53fddb |
| institution | Directory Open Access Journal |
| issn | 2093-596X 2093-5978 |
| language | English |
| last_indexed | 2024-12-13T18:24:10Z |
| publishDate | 2018-03-01 |
| publisher | Korean Endocrine Society |
| record_format | Article |
| series | Endocrinology and Metabolism |
| spelling | doaj.art-b79ff26484aa4ee6bf9597daca53fddb2022-12-21T23:35:39ZengKorean Endocrine SocietyEndocrinology and Metabolism2093-596X2093-59782018-03-0133111412010.3803/EnM.2018.33.1.114A Comparison of Ultrasound-Guided Fine Needle Aspiration versus Core Needle Biopsy for Thyroid Nodules: Pain, Tolerability, and ComplicationsEun Ji Jeong0Sae Rom Chung1Jung Hwan Baek2Young Jun Choi3Jae Kyun Kim4Jeong Hyun Lee5Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.Department of Radiology, Chung-Ang University College of Medicine, Seoul, Korea.Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.BackgroundTo compare pain, tolerability, and complications associated with fine needle aspiration (FNA) versus core needle biopsy (CNB).MethodsFNAs were performed using 23-gauge needles and CNBs were performed using 18-gauge double-action spring-activated needles in 100 patients for each procedure. Patients were asked to record a pain score using a 10-cm visual analog scale and procedure tolerability. Complications and number of biopsies were recorded.ResultsThe median pain scores were similar for the FNA and CNB approaches during and 20 minutes after the biopsy procedures (3.7 vs. 3.6, P=0.454; 0.9 vs. 1.1, P=0.296, respectively). The procedure was tolerable in all 100 FNA patients and in 97 CNB patients (P=0.246). The mean number of biopsies was fewer in the CNB group (1.4 vs. 1.2, P=0.002). By subgroup analysis (staff vs. non-staff), no significant difference was detected in any parameter. There were no major complications in either group, but three patients who underwent CNB had minor complications (P=0.246).ConclusionFNA and CNB show no significant differences for diagnosing thyroid nodules in terms of pain, tolerability, or complications.https://e-enm.org/Synapse/Data/PDFData/2008ENM/enm-33-114.pdfThyroid noduleBiopsy, fine-needleBiopsy, large-core needleSafety |
| spellingShingle | Eun Ji Jeong Sae Rom Chung Jung Hwan Baek Young Jun Choi Jae Kyun Kim Jeong Hyun Lee A Comparison of Ultrasound-Guided Fine Needle Aspiration versus Core Needle Biopsy for Thyroid Nodules: Pain, Tolerability, and Complications Endocrinology and Metabolism Thyroid nodule Biopsy, fine-needle Biopsy, large-core needle Safety |
| title | A Comparison of Ultrasound-Guided Fine Needle Aspiration versus Core Needle Biopsy for Thyroid Nodules: Pain, Tolerability, and Complications |
| title_full | A Comparison of Ultrasound-Guided Fine Needle Aspiration versus Core Needle Biopsy for Thyroid Nodules: Pain, Tolerability, and Complications |
| title_fullStr | A Comparison of Ultrasound-Guided Fine Needle Aspiration versus Core Needle Biopsy for Thyroid Nodules: Pain, Tolerability, and Complications |
| title_full_unstemmed | A Comparison of Ultrasound-Guided Fine Needle Aspiration versus Core Needle Biopsy for Thyroid Nodules: Pain, Tolerability, and Complications |
| title_short | A Comparison of Ultrasound-Guided Fine Needle Aspiration versus Core Needle Biopsy for Thyroid Nodules: Pain, Tolerability, and Complications |
| title_sort | comparison of ultrasound guided fine needle aspiration versus core needle biopsy for thyroid nodules pain tolerability and complications |
| topic | Thyroid nodule Biopsy, fine-needle Biopsy, large-core needle Safety |
| url | https://e-enm.org/Synapse/Data/PDFData/2008ENM/enm-33-114.pdf |
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