Acute transient thyroid swelling after fine‐needle aspiration biopsy: A case report of a rare complication and a literature review

Zeng, Wenli; Yan, Ziyan; Liu, Yanna; Deng, Wen-feng; Zhou, Yi; Xu, Wenchao; Wang, Yuchen; Miao, Yun

doi:10.1002/dc.24948

Cited by 5 publications

(1 citation statement)

References 17 publications

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“…However, those tests cannot be applied in many centers because of their uncertain diagnosis and high cost. [7] In this study, parameters that may be important for cytology results in thyroid USG were evaluated. Of the 532 included evaluations, 2% were found to be suspicious and malignant in cytology.…”

Section: Discussionmentioning

confidence: 99%

Comparison of thyroid fine needle aspiration biopsy and ultrasonography results

2023

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Thyroid nodules are one of the most common health problems in the community. Although most of the nodules are benign, Fine needle aspiration biopsy (FNAB) is requested due to malignancy concerns. In this research, the aim was to make a comparison of the results of thyroid ultrasonography (USG) and FNAB for thyroid nodules. This study was conducted retrospectively on the data of 532 patients. Detail Edu ultrasonographic assessment was conducted before the FNAB procedure and FNAB was performed by an endocrinology specialist. FNAB results and Thyroid USG features were compared, and thyroid FNAB results were graded using the classification of World Health Organization Bethesda-2017. The average age of the individuals included in the research was 49.99 ± 13.65 (min = 18-max = 97). According to the 2017 Bethesda classification, 74.6% of FNAB results were benign, 16% follicular lesion of undated mined significance or A type of undated mined significance, 0.9% were malignant, and 1.1% were suspicious for malignancy. When USG findings were compared according to FNAB results, it was found that malignant lesions were significantly higher in single nodules (non- cystic and non- mixed lesions). Lesions with a single nodule on USG were found to be 3.6 times more likely to be malignant (OR 95% CI: 1.172–11.352). The gold standard method for the diagnosis the presence of thyroid nodules is thyroid fine needle aspiration biopsy with ultrasound guidance. Taking samples from the correct nodule and component increases its value. The presence of a single nodule from the thyroid USG features was found to be an important predictor of malignancy according to the biopsy results.

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Section: Discussionmentioning

confidence: 99%

Comparison of thyroid fine needle aspiration biopsy and ultrasonography results

2023

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Acute transient thyroid swelling after fine‐needle aspiration biopsy: A case report of a rare complication and a literature review

Zeng

Yan

Liu

et al. 2022

Diagnostic Cytopathology

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Fine‐needle aspiration biopsy (FNAB) is a safe and effective thyroid examination method with rare complications. Herein, we report a rare case of acute transient thyroid swelling that occurred after ultrasound‐guided FNAB. The patient experienced acute pain with rapid thyroid swelling. Ultrasound imaging revealed a nodule with a linear, hypoechoic, and “patch‐like” appearance, indicating edema without hemorrhage. After receiving anti‐anaphylaxis and detumescence therapy for 1 day, the swelling regressed. Acute transient thyroid swelling is an extremely rare event that occurs shortly after FNAB and may frighten patients; therefore, clinicians should be aware of this complication in this context.

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