Role of FNAB in the management of thyroid nodules

Translated title of the contribution: [Autom. eng. transl.] Role of FNAB in the management of thyroid nodules

Domenico D'Ugo, Roberto Persiani, V. Pende, D'Andrilli, Eugenio De Corso, S. Rausei, A. Picciocchi

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Indication to surgical treatement for thyroid nodules still rapresents a relevant clinical dilemma. With this regard, on a consecutive series of 434 thyroidectomies carried out in the last 3 years, the role of Fine Needle Aspiration Biopsy (FNAB) on 139 cases has been statistically evaluated. All cytologic diagnoses have been classified in three subsets: malignant [group 1]; suspect (follicular or Hurtle cell pro - liferation ) [group 2]; benign [group 3]. Our data confirm previous observations about the high specificity of FNAB in case of diagnosis of malignancy (97.6 %). On the other hand 51.6 % of our cases are included in group 2; only 31.9 % of these cases have shown a postoperative diagno - sis of malignancy, following a suspect at FNAB. In this study, the sensibility of FNAB has been calculated inclu - ding among positive results the cytologic diagnoses of group 1+group 2: the resulting figure of 87.3% weighes the impact of FNAB on our surgical decision process. FNAB plays a crucial role in the management of nodular diseases of the thyroid, even if its overall value is limited by the burden of suspect cytologic diagnoses. In our hands, the integra - tion of FNAB results with all relevant clinical data has undoubtedly contributed to increase the portion of thyroi - dectomies carried out for cancer, from 12.8% of our histo - rical series to 23.2 % of the last 3 years.
Translated title of the contribution[Autom. eng. transl.] Role of FNAB in the management of thyroid nodules
Original languageItalian
Pages (from-to)287-291
Number of pages5
JournalAnnali Italiani di Chirurgia
Publication statusPublished - 2001


  • Clinical management
  • Fine needle aspiration
  • Thyroid nodules


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