Needle Tract Sinus Following Aspiration Biopsy of Papillary Thyroid Carcinoma

Basu, Adhish; Sistla, Sarath Chandra; Siddaraju, Neelaiah; Verma, Surendra Kumar; Iyengar, Krishnan R; Jagdish, S

doi:10.1159/000325483

Cited by 15 publications

(10 citation statements)

References 6 publications

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“…Although many carotid body tumors have been surgically resected at our institution over the past 17 years, we identified no FNAs done on these tumors, perhaps due to certainty of the diagnosis by imaging and concern about the risk of FNA. Tumor seeding of the FNA tract is another theoretical complication of FNA, which has been reported at other sites in the head and neck, for example, following FNA of papillary thyroid carcinoma 17. No such cases occurred in our study and we could not identify a case of tumor seeding due to PPS FNA in the literature.…”

Section: Discussioncontrasting

confidence: 56%

Diagnostic accuracy and safety of fine‐needle aspiration biopsy of the parapharyngeal space

Arnason

Hart

Taylor

et al. 2010

Diagnostic Cytopathology

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Fine-needle aspiration (FNA) biopsy of the parapharyngeal space (PPS) is a diagnostic challenge and sampling is often done without image guidance, often trans-orally. Primary PPS tumors are rare, and there is a broad differential diagnosis. The accuracy of PPS FNA, in particular without CT-guidance and using liquid-based cytology (LBC), has not been well studied. Pathology records from our institution (a 1,100 bed Canadian academic tertiary care centre) were searched to identify all patients who underwent PPS FNA from September 1991 to August 2009. The FNA diagnosis was compared to the gold standard of subsequent histopathology or long-term clinical follow-up. Of 36 FNAs, 3 employed image guidance. Eleven (31%) FNAs were nondiagnostic. In the 25 diagnostic FNAs, there was sensitivity 89%, specificity 94%, PPV 89%, NPV 94%, and accuracy 92% for the diagnosis of positive or negative for malignancy. A correct specific diagnosis was made in 9/25 (36%) cases. The nondiagnostic rate was significantly higher (P < 0.025) in FNAs prepared as conventional smears (9/17 = 53%) versus LBC (2/19 = 11%). A specific diagnosis was made significantly more often (P < 0.05) with LBC (8/19 = 43%) versus conventional smear (1/17 = 5.9%). One minor complication from FNA occurred. In conclusion, PPS FNA is safe and accurate for the diagnosis of malignancy. The rate of reporting a specific diagnosis is low. Nondiagnostic FNAs are common. There are more specific diagnoses and fewer nondiagnostic tests with LBC than with conventional smears. Improved specimen quality with LBC is likely a factor.

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Section: Discussioncontrasting

confidence: 56%

Diagnostic accuracy and safety of fine‐needle aspiration biopsy of the parapharyngeal space

Arnason

Hart

Taylor

et al. 2010

Diagnostic Cytopathology

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“…Two cases of post‐FNB persistent discharging sinus at the needle insertion site have been described 20,44 . The pathogenesis is unknown, although it was previously attributed to foreign body reaction 20 …”

Section: Needle Track Sinusmentioning

confidence: 99%

Clinical complications following thyroid fine‐needle biopsy: a systematic review

Polyzos

Anastasilakis

2009

Clinical Endocrinology

174

186

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SummaryThyroid fine-needle biopsy (FNB) is a simple, reliable, inexpensive and generally safe diagnostic procedure in the management of thyroid nodules. Post-FNB local pain and minor haematomas are the most common complications, while serious complications seem to be rare. Given that use of FNB minimizes unnecessary surgery and subsequent operative morbidity and mortality as well as the fact that the majority of FNB complications resolve spontaneously, the overall safety of FNB is not questioned. However, awareness of the potential complications and careful estimation of the risk-benefit ratio in an individual basis may further decrease the low morbidity of FNB. In this systematic review we tried to collect and summarize all reported clinical complications following diagnostic thyroid FNB, aiming to make physicians aware of possible complications and to provide preventive measures to avoid them.

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“…The diagnosis of the first reported case was in a patient with Riedel thyroiditis and it is well known that fistulas and sinuses can be seen in this disease after surgery or percutaneous manipulations [9]. The second case was reported from India and the reason for sinus formation was needle-track seeding of papillary thyroid cancer cells [10]. In the case presented here, we did not suspect about Riedel thyroiditis because of localized proliferation in the lesion.…”

Section: Discussionmentioning

confidence: 70%

First Report of a Case with Needle Track Sinus after Aspiration Biopsy of a Benign Thyroid Nodule Resulted in an Unexpected Postoperative Complication

Doğan¹,

Karaman²,

Küçük³

et al. 2010

Journal of Thyroid Research

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Fine needle aspiration biopsy is the most feasible, safe, and accurate diagnostic tool for thyroid nodule diagnosis. The development of a sinus tract between thyroid gland and the skin through needle tract after fine needle aspiration biopsy is an extremely uncommon phenomenon. In this paper, a 71-year-old man presenting with a swelling and discharge on the anterior neck wall was reported. Similar complaints were present 15 to 20 days after fine needle aspiration biopsy of thyroid gland four years ago. Bilateral total thyroidectomy was performed considering a thyroid malignancy infiltrating the skin. Histopathologic examination confirmed a sinus tract between the thyroid gland and skin and thyroid nodule was benign in nature. It must be kept in mind that inflammatory reactions might also occur after fine needle aspiration biopsy of benign thyroid nodules. In patients with needle biopsy-related inflammation, surgery may be delayed until the inflammation subsides.

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Needle Tract Sinus Following Aspiration Biopsy of Papillary Thyroid Carcinoma

Cited by 15 publications

References 6 publications

Diagnostic accuracy and safety of fine‐needle aspiration biopsy of the parapharyngeal space

Diagnostic accuracy and safety of fine‐needle aspiration biopsy of the parapharyngeal space

Clinical complications following thyroid fine‐needle biopsy: a systematic review

First Report of a Case with Needle Track Sinus after Aspiration Biopsy of a Benign Thyroid Nodule Resulted in an Unexpected Postoperative Complication

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