AI Article Synopsis
- Thyroid core biopsies using ultrasound guidance offer an effective alternative to traditional fine-needle aspiration, demonstrating greater sensitivity and specificity while being low-cost and reliable.
- The study reviewed 1,065 cases over 15 years, confirming that these biopsies are safe and useful for diagnosing thyroid conditions, though they shouldn’t replace fine-needle aspiration entirely.
- Optimal results from these procedures come from a collaborative effort among medical professionals, emphasizing the importance of understanding what can and cannot be diagnosed using each method.
Article Abstract
Background: Thyroid core biopsies obtained with ultrasound (US)-guided needles are an alternative to conventional fine-needle aspiration and, according to various authors, have greater sensitivity and specificity. The technique is inexpensive, rapid and reliable with a low rate of complications, similar to conventional fine-needle aspiration procedures.
Objectives: This paper critically reviews the methodology for obtaining samples and processing them in the pathology laboratory.
Methods: Accumulated experience with 1,065 cases of US-guided core biopsy of the thyroid gland in a 15-year period.
Results: US-guided core biopsy is a useful, inexpensive and safe method in the histological diagnosis of thyroid gland pathology. Thyroid samples obtained this way are not a substitute for fine-needle aspiration cytology. Indeed, some authors assert that the best results are obtained by combining the two approaches, the methods being complementary.
Conclusions: To take best advantage of the findings from these techniques, pathologists must know which types of diagnoses can be made and the fundamentals of how and, lastly, what cannot be diagnosed and the reasons why. Best results are obtained with a multidisciplinary approach in a hospital committee composed of endocrinologists, surgeons, radiologists and pathologists, who analyse and provide a background on each case.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3821498 | PMC |
| http://dx.doi.org/10.1159/000343825 | DOI Listing |
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