The evaluation of thyroid nodules is routine use of frozen section examination necessary followingpreoperative fine needle aspiration biopsy

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dc.authorid7028en_US
dc.contributor.authorSaydam, Levent
dc.contributor.authorKalcıoğlu, Mahmut Tayyar
dc.contributor.authorKızılay, Ahmet
dc.contributor.authorBozkurt, Mete Kaan
dc.date.accessioned2017-06-06T08:32:20Z
dc.date.available2017-06-06T08:32:20Z
dc.date.issued2003
dc.departmentİnönü Üniversitesien_US
dc.description.abstractAmeliyat öncesi ince i¤ne aspirasyon biyopsisi (‹‹AB) sonuçlar›n› tek parametre olarak kullanarak tiroidektominin geniflli¤ine karar verilip verilemeyece¤i ve frozen section incelemesinin her olguda rutin olarak gerekip gerekmedi¤i araflt›r›ld›. Hastalar ve Yöntemler: Çal›flmaya nodüler tiroit tan›s›yla tiroidektomi ameliyat› yap›lan ve ameliyat öncesinde ince i¤ne aspirasyonu (n=46) ve/veya ameliyat s›ras›nda frozen section (n=40) sonuçlar›na ula- fl›labilen 67 hasta (40 kad›n, 27 erkek; ort. yafl 44; da¤›l›m 17-78) al›nd›. ‹ki yöntemin sonuçlar›yla patolojik inceleme sonuçlar› karfl›laflt›r›ld›. Bulgular: Histopatolojik sonuçlar 25 olguda (%37.3) malign, 42 olguda (%62.7) benign bulundu. ‹nce i¤- ne aspirasyon biyopsisinin duyarl›l›¤› %50, özgüllü- ¤ü %95, tan›sal do¤ruluk oran› %77; frozen section incelemesinin duyarl›l›¤› %100, özgüllü¤ü %87, tan›- sal do¤rulu¤u %91 bulundu. Sonuç: Bulgular›m›z, ‹‹AB’nin düflük duyarl›l›k ve tan›- sal do¤ruluk de¤erleri nedeniyle, klinik malignensi parametrelerinin dikkatle de¤erlendirilmesi ile birlikte rutin frozen section incelemesinin gerekli oldu¤unu göstermektedir.en_US
dc.description.abstractWe evaluated the role of fine-needle aspiration biopsy as a single parameter in determining the extent of thyroidectomy and the necessity of routine use of frozen-section examination in patients with nodular thyroid disease. Pat i ents and Methods: We reviewed 67 patients (40 females, 27 males; mean age 44 years; range 17 to 78 years) who underwent thyroidectomy for nodular thyroid disease. Preoperative fine-needle aspiration biopsy and intraoperative frozen-section examination were performed in 46 patients and 40 patients, respectively. The results were compared with histopathologic diagnoses. Results: Histopathologically, 25 patients (37.3%) had malignant and 42 patients (62.7%) had benign disease. The sensitivity, specificity, and diagnostic accuracy were 50%, 95%, and 77% for fine-needle aspiration biopsy, and 100%, 87%, and 91% for frozen-section examination, respectively. Conclusion: In view of lower sensitivity and accuracy rates for fine-needle aspiration biopsy, the routine use of frozen-section examination seems to be necessary especially in cases with highly suggestive clinical findings of malignancy.en_US
dc.identifier.citationSaydam, L. Kalcıoğlu, M. T. Kızılay, A. Bozkurt, M. K. (2003). The evaluation of thyroid nodules is routine use of frozen section examination necessary followingpreoperative fine needle aspiration biopsy. Kulak Burun Bogaz Ihtisas Dergisi. 11(3):80-84.en_US
dc.identifier.endpage84en_US
dc.identifier.issue3en_US
dc.identifier.startpage80en_US
dc.identifier.urihttps://hdl.handle.net/11616/7057
dc.identifier.volume11en_US
dc.language.isoenen_US
dc.publisherKulak Burun Bogaz Ihtisas Dergisien_US
dc.relation.ispartofKulak Burun Bogaz Ihtisas Dergisien_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectBiyopsien_US
dc.subjectİğneen_US
dc.subjectFrozen sectionen_US
dc.subjectDuyarlılık ve özgüllüken_US
dc.subjectTiroit hastalıkları/tanıen_US
dc.subjectTiroit bezi/patoloji/cerrahien_US
dc.subjectTiroit neoplazmları/tanıen_US
dc.subjectTiroit nodülü/patoloji/tedavien_US
dc.subjectTiroidektomien_US
dc.subjectBiopsyen_US
dc.subjectNeedleen_US
dc.subjectFrozen sectionsen_US
dc.subjectSensitivity and specificityen_US
dc.subjectThyroid diseases/diagnosisen_US
dc.subjectThyroid gland/pathology/surgeryen_US
dc.subjectThyroid neoplasms/diagnosisen_US
dc.subjectThyroid nodule/ pathology/therapyen_US
dc.subjectThyroidectomyen_US
dc.titleThe evaluation of thyroid nodules is routine use of frozen section examination necessary followingpreoperative fine needle aspiration biopsyen_US
dc.title.alternativeTiroit nodüllerinin değerlendirilmesi: İnce iğne aspirasyon biyopsisinden sonra frozen section incelemesi gerekli mi?en_US
dc.typeArticleen_US

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