The Role of Core Needle Biopsy for Thyroid Nodules with Initially Indeterminate Results on Previous Fine-Needle Aspiration: A Systematic Review and Meta-Analysis

Suh, Chong Hyun; Baek, Jung Hwan; Park, Chan; Choi, Young Jun; Lee, Jeong Hyun

doi:10.3174/ajnr.a5182

Cited by 28 publications

(20 citation statements)

References 40 publications

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“…Facing thyroid nodules with indeterminate cytological results, other options can be valuable to increase diagnostic accuracy: repeated FNAC, iodine 123 scintigraphy, core needle biopsy, immunocytochemistry, molecular testing (22,23). In Ratour et al study, no benign immunocytochemistry results were associated with a malignant lesion (24).…”

Section: Demographic Data and Histological Resultsmentioning

confidence: 99%

TIRADS score is of limited clinical value for risk stratification of indeterminate cytological results

Chaigneau

Russ

Royer³

et al. 2018

European Journal of Endocrinology

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Section: Demographic Data and Histological Resultsmentioning

confidence: 99%

TIRADS score is of limited clinical value for risk stratification of indeterminate cytological results

Chaigneau

Russ

Royer³

et al. 2018

European Journal of Endocrinology

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“…Additionally, in that article, the results of CNB were grouped into the six categories of the Bethesda system, whereas we only considered malignant and benign outcomes. However, the high accuracy of CNB was demonstrated in both papers, and, notably, very low rates of inconclusive results and complications from CNB were reported by Suh et al [ 38 ].…”

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

“…A relevant meta-analysis of the reliability of CNB in indeterminate thyroid nodules was published by Suh et al [ 38 ]. Herein, we adopted a different search algorithm, so our results are not perfectly comparable to those obtained by Suh et al [ 38 ]. Additionally, in that article, the results of CNB were grouped into the six categories of the Bethesda system, whereas we only considered malignant and benign outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, the AACE/ACE/ AME [ 1 ], British Thyroid Association [ 2 ], and KSThR [ 43 ] suggest CNB for lymphoma, anaplastic carcinoma, medullary carcinoma, and metastasis to the thyroid. Remarkably, the rate of complications reported from thyroid CNB is very low [ 12 , 38 ]. As a consequence, we feel that the present data strongly support the use of CNB in thyroid nodules with prior indeterminate FNA.…”

Section: Discussionmentioning

confidence: 99%

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Reliability of core needle biopsy as a second-line procedure in thyroid nodules with an indeterminate fine-needle aspiration report: a systematic review and meta-analysis

Trimboli

Giovanella

2018

Ultrasonography

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PurposeThis study was undertaken to summarize the published data and to provide more robust estimates regarding the issue of core needle biopsy (CNB) for discriminating thyroid nodules with indeterminate fine-needle aspiration (FNA) results.MethodsThe systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The sources comprised studies published through November 2017. Original articles that investigated CNB in indeterminate thyroid lesions were searched. A random-effects model was used for statistical pooling of the data. The I2 index was used to quantify the heterogeneity among the studies. The Egger test was carried out to evaluate the possible presence of significant publication bias. Quality assessment of the studies was performed according to QUADAS-2.ResultsA total of 205 articles were retrieved, seven were initially selected, and the data of five papers were ultimately pooled in a meta-analysis. The overall cancer rate was 34%. The rate of cancers correctly diagnosed by CNB was 83% (95% confidence interval [CI], 76 to 89), with neither heterogeneity (I2=25%) nor publication bias (Egger test, P=0.918). The rate of benign nodules correctly assessed by CNB was 84% (95% CI, 65 to 97), with significant heterogeneity (I2=93.4%) and publication bias (Egger test, P=0.016).ConclusionEvidence was found that CNB can correctly diagnose the majority of nodules previously read as indeterminate on FNA.

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Diagnostic use of fine‐needle aspiration cytology and core‐needle biopsy in head and neck sarcomas

et al. 2021

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The diagnostic role of fine‐needle aspiration cytology (FNAC) and core‐needle biopsy (CNB) has not been comprehensively assessed in head and neck sarcomas. A systematic review of published cases (1990–2020) was conducted. Diagnostic performance of both FNAC/CNB to determine tumor dignity and histopathological diagnosis was calculated. One hundred and sixty‐eight cases were included for which FNAC (n = 156), CNB (n = 8), or both (n = 4) were used. Predominant histologies were skeletal muscle, chondrogenic and vascular sarcomas. FNAC correctly assessed dignity in 76.3% and histology in 45% of cases. Dignity was significantly better for vascular tumors, metastatic and recurrent specimens, and worse for chondrogenic sarcomas. CNB showed a 92% accuracy to identify dignity and 83% for histopathology. FNAC and CNB are useful methods for the diagnosis of head and neck sarcomas, particularly well‐suited in the context of recurrent or metastatic disease. The role of CNB remains largely unexplored for this indication.

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The Role of Core Needle Biopsy for Thyroid Nodules with Initially Indeterminate Results on Previous Fine-Needle Aspiration: A Systematic Review and Meta-Analysis

Cited by 28 publications

References 40 publications

TIRADS score is of limited clinical value for risk stratification of indeterminate cytological results

TIRADS score is of limited clinical value for risk stratification of indeterminate cytological results

Reliability of core needle biopsy as a second-line procedure in thyroid nodules with an indeterminate fine-needle aspiration report: a systematic review and meta-analysis

Diagnostic use of fine‐needle aspiration cytology and core‐needle biopsy in head and neck sarcomas

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