Approach to FNA of Thyroid Gland Cysts

Rossi, Esther Diana; Tralongo, Pietro; Fiorentino, Vincenzo; Curatolo, Mariangela; Bruno, Carmine; Crea, Carmela De; Raffaelli, Marco; Pontecorvi, Alfredo; Larocca, Luigi Maria

doi:10.1097/pap.0000000000000357

Cited by 4 publications

(4 citation statements)

References 65 publications

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“…3,4 At the initial evaluation of an adult patient who has a cystic neck mass, a comprehensive head and neck examination, FNAC analysis, and imaging should all be performed. 5 The features of thyroid nodules are often assessed by ultrasound (US) imaging, which may distinguish between cystic and solid thyroid nodules. Cysts are seen as anechoic masses with smooth borders and thin walls.…”

Section: Ys Ti C Thyroid Le S I On Smentioning

confidence: 99%

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Some uncommon cystic lesions in the anterior head and neck region: Pitfalls to be avoided on cytology

et al. 2023

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Cystic lesions of the anterior head and neck region are a challenging and frequent finding on cytological smears. The scant amount of cellular material in cystic slides poses the greatest difficulty to interpretation, so that frequently they are diagnosed as inadequate or with minimal cellular component. Despite the majority of cystic lesions being benign, a minor portion consist of malignant cystic entities. In these latter cases, the evidence of very scant malignant cells can be misdiagnosed and/or underestimated, leading to a false negative diagnosis. Many papers have already described and detailed the range of possible benign and malignant cystic lesions in head and neck. In the current review we have focused on the less common entities that often lead to serious misinterpretation.

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Section: Ys Ti C Thyroid Le S I On Smentioning

confidence: 99%

“…These cysts are more commonly benign thyroid adenomas, but they have a 5%‐10% malignancy risk, which rises as the amount of the solid nodule increases 3,4 . At the initial evaluation of an adult patient who has a cystic neck mass, a comprehensive head and neck examination, FNAC analysis, and imaging should all be performed 5 …”

Section: Cystic Thyroid Lesionsmentioning

confidence: 99%

Some uncommon cystic lesions in the anterior head and neck region: Pitfalls to be avoided on cytology

et al. 2023

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“…FNA is currently considered the gold standard for preoperative diagnosis of thyroid nodules. When the nodules can not be clearly judged by ultrasound, FNA can be employed to further determine the condition of the nodules and the risk of cancer at the cellular level [ 22 ]. Although FNA contributes to differentiating benign and malignant thyroid nodules, it may cause pain and small hematomas in patients.…”

Section: Introductionmentioning

confidence: 99%

Artificial intelligence assisted diagnosis of early tc markers and its application

Zhang,

Wong,

et al. 2024

Discov Onc

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Thyroid cancer (TC) is a common endocrine malignancy with an increasing incidence worldwide. Early diagnosis is particularly important for TC patients, because it allows patients to receive treatment as early as possible. Artificial intelligence (AI) provides great advantages for complex healthcare systems by analyzing big data based on machine learning. Nowadays, AI is widely used in the early diagnosis of cancer such as TC. Ultrasound detection and fine needle aspiration biopsy are the main methods for early diagnosis of TC. AI has been widely used in the detection of malignancy in thyroid nodules by ultrasound images, cytopathology images and molecular markers. It shows great potential in auxiliary medical diagnosis. The latest clinical trial has shown that the performance of AI models matches with the diagnostic efficiency of experienced clinicians, and more efficient AI tools will be developed in the future. Therefore, in this review, we summarized the recent advances in the application of AI algorithms in assessing the risk of malignancy in thyroid nodules. The objective of this review was to provide a data base for the clinical use of AI-assisted diagnosis in TC, as well as to provide new ideas for the next generation of AI-assisted diagnosis in TC.

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“…Fine-needle aspiration (FNA) has been instrumental in evaluating thyroid nodules since its widespread adoption in the 1980s. [ 1 , 2 ] This technique revolutionized thyroid nodule management, a condition prevalent in up to 50% of the adult population, with higher incidence rates in women and the elderly. [ 3 , 4 ] Although most nodules are benign, distinguishing them from the approximately 5% that are malignant is critical, as thyroid cancer constitutes a significant portion of thyroid nodule cases.…”

Section: Introductionmentioning

confidence: 99%

Deciphering the progression of fine-needle aspiration: A bibliometric analysis of thyroid nodule research

Liu,

Yang,

Qiao

et al. 2024

Medicine

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This study aims to dissect the evolution and pivotal shifts in Fine-Needle Aspiration (FNA) research for thyroid nodules over the past 2 decades, focusing on delineating key technological advancements and their impact on clinical practice. A comprehensive bibliometric analysis was conducted on 5418 publications from the Web of Science Core Collection database (2000–2023). Publications were rigorously selected based on their contributions to the advancement of FNA techniques and their influence on thyroid nodule management practices. Our analysis uncovered significant breakthroughs, most notably the incorporation of ultrasound and molecular diagnostics in FNA, which have markedly elevated diagnostic accuracy. A pivotal shift was identified towards minimally invasive post-FNA treatments, such as Radiofrequency Ablation, attributable to these diagnostic advancements. Additionally, the emergence of AI-assisted cytology represents a frontier in precision diagnostics, promising enhanced disease identification. The geographical analysis pinpointed the United States, Italy, and China as key contributors, with the United States leading in both publication volume and citation impact. This bibliometric analysis sheds light on the transformative progression in FNA practices for thyroid nodules, characterized by innovative diagnostic technologies and a trend towards patient-centric treatment approaches. The findings underscore the need for further research into AI integration and global practice standardization. Future explorations should focus on the practical application of these advancements in diverse healthcare settings and their implications for global thyroid nodule management.

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Approach to FNA of Thyroid Gland Cysts

Cited by 4 publications

References 65 publications

Some uncommon cystic lesions in the anterior head and neck region: Pitfalls to be avoided on cytology

Some uncommon cystic lesions in the anterior head and neck region: Pitfalls to be avoided on cytology

Artificial intelligence assisted diagnosis of early tc markers and its application

Deciphering the progression of fine-needle aspiration: A bibliometric analysis of thyroid nodule research

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