Core-needle biopsy in thyroid nodules: performance, accuracy, and complications

Fano, Miguel Paja; Rodríguez, J.L. del Cura; Zabala, Rosa; Korta, Igone; Ugalde, Aitziber; López, José I.

doi:10.1007/s00330-019-06038-6

Cited by 27 publications

(14 citation statements)

References 53 publications

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“…The KSThR or NCI guidelines suggest that CNB is safe, welltolerated, and associated with a low incidence of complications when performed by experienced operators [14,18,32,41]. The reported complication rate is up to 4.1%, with the major complication rate up to 1.9% [16,43,53,55,58,70]. Various CNB complications were reported [14], including hematoma [18,39,41,53,70], voice change [43,55], infection [70,71], hemoptysis [41], edema [18,39,42], vasovagal reaction [70], and dysphagia [70].…”

Section: Biopsy-related Complicationsmentioning

confidence: 99%

“…A trans-isthmic approach under US monitoring is important to prevent direct injury to the recurrent laryngeal nerve [14,72]. A lateral-to-medial approach is dangerous to trachea, esophagus or recurrent laryngeal nerve [16].…”

Section: Biopsy-related Complicationsmentioning

confidence: 99%

“…CNB is safe, well-tolerated, and associated with a low incidence of complications when performed by an expert [1,14]. Several largescale studies [15,16] and a systematic review and meta-analysis [17] validated the low rates of major and minor complications and absence of procedure-related deaths.…”

mentioning

confidence: 91%

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2019 Practice guidelines for thyroid core needle biopsy: a report of the Clinical Practice Guidelines Development Committee of the Korean Thyroid Association

Jung¹,

Baek²,

et al. 2020

J Pathol Transl Med

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Ultrasound-guided core needle biopsy (CNB) has been increasingly used for the pre-operative diagnosis of thyroid nodules. Since the Korean Society of the Thyroid Radiology published the 'Consensus Statement and Recommendations for Thyroid CNB' in 2017 and the Korean Endocrine Pathology Thyroid CNB Study Group published 'Pathology Reporting of Thyroid Core Needle Biopsy' in 2015, advances have occurred rapidly not only in the management guidelines for thyroid nodules but also in the diagnostic terminology and classification schemes. The Clinical Practice Guidelines Development Committee of the Korean Thyroid Association (KTA) reviewed publications on thyroid CNB from 1995 to September 2019 and updated the recommendations and statements for the diagnosis and management of thyroid nodules using CNB. Recommendations for the resolution of clinical controversies regarding the use of CNB were based on expert opinion. These practical guidelines include recommendations and statements regarding indications for CNB, patient preparation, CNB technique, biopsy-related complications, biopsy specimen preparation and processing, and pathology interpretation and reporting of thyroid CNB.

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Section: Biopsy-related Complicationsmentioning

confidence: 99%

Section: Biopsy-related Complicationsmentioning

confidence: 99%

See 1 more Smart Citation

2019 Practice guidelines for thyroid core needle biopsy: a report of the Clinical Practice Guidelines Development Committee of the Korean Thyroid Association

Jung¹,

Baek²,

et al. 2020

J Pathol Transl Med

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show abstract

“…FNA can be performed by palpation or under ultrasound guidance. Thyroid nodule FNA typically involves percutaneous placement of thin needles, such as a 23, 25 or 27 gauge needles (4,5), into the thyroid nodule of interest to obtain cells via capillary technique, although larger gauge needles are sometimes used to obtain a core biopsy (6). FNA techniques can vary to include offering a pre-procedure anesthetic or not (7,8).…”

Section: Introductionmentioning

confidence: 99%