RESTATEMENT OF INDICATIONS FOR THYROID NODULES BIOPSY
https://doi.org/10.24884/0042-4625-2015-174-1-23-25
Abstract
The ultrasonic signs of focal formations have a defining value for indication of fine-needle aspiration biopsy of thyroid nodules. The size and dynamics of growth aren’t so important. The evaluation of indications for performing a thyroid nodules biopsy was made in 6403 patients. It was proved that the size of thyroid nodules hadn’t any value for the indications and technique of aspiration biopsy. It was stated that a subjectivity assessment, many errors and parameters variety took place in clinical and ultrasound examination in the case of thyroid nodules changes. Indications for biopsy based on the size of nodules hadn’t any theoretical or practical value. The indications according to TIRADS system are reasonable. Their application considerably improved obtaining an informative material and increased the probability of thyroid tumor detection.
About the Authors
Yu. K. Alexandrov
Yaroslavl State Medical Academy
Russian Federation
Russian Federation
E. D. Sergeeva
Yaroslavl State Medical Academy
Russian Federation
Russian Federation
A. N. Sencha
Yaroslavl Railway clinical hospital
Russian Federation
Russian Federation
References
1. Белобородов В. А., Шевченко С. П., Олиферова О. С. и др. Морфологическая верификация рака щитовидной железы // Сибирский онкол. журн. 2007. № 2. С. 69-72.
2. Дедов И. И., Мельниченко Г. А., Фадеев В. В. и др. Клинические рекомендации Российской ассоциации эндокринологов по диагностике и лечению узлового зоба // Проблемы эндокринол. 2005. № 5. С. 40-42.
3. Матящук С. И., Найда Ю. Н., Шелковой Е. А. Показания к пункционной биопсии (ТАПБ) узлов щитовидной железы // Лiки Украiни. 2011. № 6. С. 61-70.
4. Соколова Е. И., Александров Ю. К., Сергеева Е. Д. Формирование показаний для тонкоигольной аспирационной пункционной биопсии при субсантиметровых узлах щитовидной железы // Практ. мед. 2013. № 2. С. 88-90.
5. Шулутко А. М., Семиков В. И., Ветшев П. С. Непальпируемые узловые образования щитовидной железы. М.: Профиль-2С, 2011. 144 с.
6. Ali Z. S., Cibas E. S. The Bethesda system for reporting cytopathology. Definitions, criteria and explanatory notes // Springer. 2010, XIV. P. 174.
7. American Association of Clinical Endocrinologists medical guidelines for clinical practice for the diagnosis and management of thyroid nodules // AACE/AME Task force on thyroid nodules. Endocr. Pract. 2010. P. 1-43.
8. Cooper D. S., Doherty G. M., Haugen B. R. et al. Revised American Thyroid Association managerment guidelines for patients with thyroid nodules and differentiated thyroid cancer // Thyroid. 2009. Vol. 19, № 11. P. 1167-1214.
9. Horvath E., Majlis S., Rossi R. et al. An ultrasonogram reporting system for thyroid nodules stratifying cancer risk for clinical management // J. Clin. Endocrinol. Metab. 2009. Vol. 94, № 5. P. 1748.
10. Liénart F. Thyroid nodule: benign or malignant? // Rev. Med. Brux. 2012. Vol. 33, № 4. P. 254-262.
11. Russ G., Bigorgne C., Royer B. et al. The Thyroid Imaging Reporting and Data System (TIRADS) for ultrasound of the thyroid // J. Radiol. 2011. Vol. 92, № 7-8. P. 701-713.
Review
For citations:
Alexandrov Yu.K., Sergeeva E.D., Sencha A.N. RESTATEMENT OF INDICATIONS FOR THYROID NODULES BIOPSY. Grekov's Bulletin of Surgery. 2015;174(1):23-25. (In Russ.) https://doi.org/10.24884/0042-4625-2015-174-1-23-25
Views:
570
Email this article 