"FINE NEEDLE ASPIRATION BIOPSY"IN THE MANAGEMENT OF THYROID NODULES AND IT'S IMPACT ON SURGICAL DECISION
SADIK KILIÇTURGAY1, HALİL ÖZGÜ1, CEYHUN İRGİL1, YURTKURAN SADIKOĞLU2, ÖMER YERCİ3, HALİL BİLGEL1
1Uludağ Üniversitesi Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, BURSA
2Uludağ Üniversitesi Tıp Fakültesi, Radyoloji Anabilim Dalı, BURSA
3Uludağ Üniversitesi Tıp Fakültesi, Patoloji Anabilim Dalı, BURSA
Abstract
Between October 1989-November 1991, 206 "Fine needle aspiration biopsy" FNAB were performed under ultrasounic guidance on 188 consecutive cases. The results of FNAB were compared with the histopathologic findings of these lesions in 107 patients. We found 4 carcinoma (3 of them papiller thyroid Ca and 1 metastatic Ca) in histopathologic examination and 3 of them (%75) were reported as Class-IV. The specificity of FNAB in the diagnosis of neoplastic cases was determined to be %87.4, the sensitivity to be %58.3 and the accuracy to be %84.1. We haven't seen any complications. As a result, FNAB is a safe, cost-effective and reliable diagnostic method of assesment of thyroid nodules. Lots of unnecessary operations can be prevented when FNAB is combined with other diagnostic methods, even in centers which has just begun to practice this technique.