Laval University, Montréal, QC H4W 2V8.
J Otolaryngol Head Neck Surg. 2010 Aug;39(4):356-60.
To assess the efficacy of ultrasound-guided thyroid fine-needle aspiration biopsies (USFNABs) performed in the office setting by an otolaryngologist and to evaluate the specimen adequacy of USFNABs performed in patients whose initial palpation-guided fine-needle aspiration biopsies (PGFNABs) were nondiagnostic.
Retrospective chart review.
Royal Victoria Hospital-McGill University Health Centre, Montreal.
This is a retrospective analysis of 76 USFNABs performed by an otolaryngologist on consecutive patients over a 6-month period. Each patient had a previous nondiagnostic PGFNAB. Biopsies were performed using a 20-gauge fine needle with a Mylab25 Biosound Esoate ultrasound machine. Samples were then classified according to the adequacy of sample and pathologic findings.
Specimen adequacy rate.
Sixty-six patients underwent 76 USFNABs. The sample included 57 females and 9 males (mean age 51.1 and 55.4 years, respectively). The specimen adequacy rate was 90.8% (69 of 76). Among the adequate specimens, 2 (2.6%) were malignant, 6 (7.9%) were suspicious for malignancy, 43 (56.6%) were benign, and 18 (23.7%) were follicular or Hürthle cell lesions (indeterminate).
Our experience demonstrates that USFNAB performed in the clinic by an otolaryngologist is a promising tool for improving specimen adequacy for nodules initially classified as nondiagnostic. USFNAB also avoids the need for radiologic consultation, thus improving efficacy in the workup of nodules.
评估耳鼻喉科医生在诊所进行超声引导甲状腺细针抽吸活检（USFNAB）的疗效，并评估初始触诊引导下细针抽吸活检（PGFNAB）结果为非诊断性的患者的 USFNAB 标本的充分性。
回顾性图表审查。
蒙特利尔麦吉尔大学健康中心皇家维多利亚医院。
这是一项回顾性分析，对耳鼻喉科医生在 6 个月内对连续患者进行的 76 例 USFNAB 进行了分析。每位患者均有先前的非诊断性 PGFNAB。活检使用 20 号细针和 Mylab25 Biosound Esoate 超声机进行。然后根据样本和病理发现的充分性对样本进行分类。
标本充分率。
66 例患者接受了 76 例 USFNAB。样本包括 57 名女性和 9 名男性（平均年龄分别为 51.1 岁和 55.4 岁）。标本充分率为 90.8%（69/76）。在充分的标本中，2 例（2.6%）为恶性，6 例（7.9%）为疑似恶性，43 例（56.6%）为良性，18 例（23.7%）为滤泡或 Hurthle 细胞病变（不确定）。
我们的经验表明，耳鼻喉科医生在诊所进行的 USFNAB 是一种有前途的工具，可以提高最初分类为非诊断性结节的标本充分性。USFNAB 还避免了对放射科咨询的需求，从而提高了结节检查的效果。
