A comparison of the results of monolayer versus smear cytopreparatory techniques for fine-needle aspiration in 100 consecutive patients undergoing thyroidectomy: a surgeon's perspective
To compare thyroid fine-needle aspiration (FNA) using monolayer (MT) versus conventional smear (CS) cytopreparatory techniques with final histology. Retrospective review of 100 consecutive thyroidectomies. Setting Tertiary care university affiliated medical center. 26% of MT aspirates were inadequat...
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Published in | Otolaryngology-head and neck surgery Vol. 131; no. 6; p. 964 |
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Main Author | |
Format | Journal Article |
Language | English |
Published |
England
01.12.2004
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Subjects | |
Online Access | Get more information |
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Summary: | To compare thyroid fine-needle aspiration (FNA) using monolayer (MT) versus conventional smear (CS) cytopreparatory techniques with final histology.
Retrospective review of 100 consecutive thyroidectomies. Setting Tertiary care university affiliated medical center.
26% of MT aspirates were inadequate compared with 3% of CS aspirates (P < 0.05). The negative predictive values for MT and CS were 86% and 100%, respectively. The positive predictive values for MT and CS were 69% and 90%, respectively.
Fewer inadequate specimens will be obtained with CS than with MT. A clinician performing FNA can obtain adequate specimens at a rate comparable to that of a hospital-based cytopathologist.
CS provides greater assurance to the patient and the surgeon that a thyroid nodule with a FNA interpreted as benign can be observed. A higher percentage of patients with malignant tumor will receive thyroidectomy with the use of CS technique for FNA.
B-3. |
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ISSN: | 0194-5998 |
DOI: | 10.1016/j.otohns.2004.07.004 |