A Systematic Review of Cases Reporting Needle Tract Seeding Following Thyroid Fine Needle Biopsy

Background Because of its accuracy and cost-effectiveness, thyroid fine needle biopsy (FNB) is the procedure of choice in the preoperative management of thyroid nodules. Needle tract seeding (NTS) has been a concern since the earliest days of FNB, contributing to the delayed acceptance of FNB as a s...

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Published inWorld journal of surgery Vol. 34; no. 4; pp. 844 - 851
Main Authors Polyzos, Stergios A., Anastasilakis, Athanasios D.
Format Journal Article
LanguageEnglish
Published New York Springer-Verlag 01.04.2010
Springer‐Verlag
Springer Nature B.V
Subjects
Abdominal Surgery
Biopsy, Fine-Needle - adverse effects
Cardiac Surgery
Core Needle Biopsy
General Surgery
Humans
Medicine
Medicine & Public Health
Medullary Thyroid Carcinoma
Neoplasm Seeding
Papillary Thyroid Carcinoma
Risk Factors
Surgery
Thoracic Surgery
Thyroid Carcinoma
Thyroid Neoplasms - diagnosis
Thyroid Neoplasms - pathology
Thyroid Nodule
Vascular Surgery
Papillary Thyroid Carcinoma
Medullary Thyroid Carcinoma
Thyroid Carcinoma
Thyroid Nodule
Core Needle Biopsy
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Abstract Background Because of its accuracy and cost-effectiveness, thyroid fine needle biopsy (FNB) is the procedure of choice in the preoperative management of thyroid nodules. Needle tract seeding (NTS) has been a concern since the earliest days of FNB, contributing to the delayed acceptance of FNB as a safe procedure. In this review we tried to systematically record all reports of NTS after diagnostic thyroid FNB and provide useful hints to minimize the risk of NTS. Methods Computerized advanced search for primary evidence was performed in the PubMed (Public/Publisher Medline) electronic database. The search was not limited by publication time or English language. Results Ten relevant articles were found: eight case reports, one case in a surgical series, and one retrospective observational study. Conclusions Despite initial concerns about the risk of NTS, FNB is now considered to be a safe procedure. Although proper FNB technique can reduce its risk, NTS is an unavoidable complication of FNB, which clinicians should be aware of. However, the incidence of NTS is low and it doesn’t seem to affect the prognosis because the seedings can be surgically removed without recurrence. The management of the thyroid nodules is to-date based on FNB, and the benefits from FNB (elimination of needless imaging and surgery) far outweigh the potential risk for NTS.
AbstractList Background Because of its accuracy and cost-effectiveness, thyroid fine needle biopsy (FNB) is the procedure of choice in the preoperative management of thyroid nodules. Needle tract seeding (NTS) has been a concern since the earliest days of FNB, contributing to the delayed acceptance of FNB as a safe procedure. In this review we tried to systematically record all reports of NTS after diagnostic thyroid FNB and provide useful hints to minimize the risk of NTS. Methods Computerized advanced search for primary evidence was performed in the PubMed (Public/Publisher Medline) electronic database. The search was not limited by publication time or English language. Results Ten relevant articles were found: eight case reports, one case in a surgical series, and one retrospective observational study. Conclusions Despite initial concerns about the risk of NTS, FNB is now considered to be a safe procedure. Although proper FNB technique can reduce its risk, NTS is an unavoidable complication of FNB, which clinicians should be aware of. However, the incidence of NTS is low and it doesn’t seem to affect the prognosis because the seedings can be surgically removed without recurrence. The management of the thyroid nodules is to-date based on FNB, and the benefits from FNB (elimination of needless imaging and surgery) far outweigh the potential risk for NTS.
Because of its accuracy and cost-effectiveness, thyroid fine needle biopsy (FNB) is the procedure of choice in the preoperative management of thyroid nodules. Needle tract seeding (NTS) has been a concern since the earliest days of FNB, contributing to the delayed acceptance of FNB as a safe procedure. In this review we tried to systematically record all reports of NTS after diagnostic thyroid FNB and provide useful hints to minimize the risk of NTS. Computerized advanced search for primary evidence was performed in the PubMed (Public/Publisher Medline) electronic database. The search was not limited by publication time or English language. Ten relevant articles were found: eight case reports, one case in a surgical series, and one retrospective observational study. Despite initial concerns about the risk of NTS, FNB is now considered to be a safe procedure. Although proper FNB technique can reduce its risk, NTS is an unavoidable complication of FNB, which clinicians should be aware of. However, the incidence of NTS is low and it doesn't seem to affect the prognosis because the seedings can be surgically removed without recurrence. The management of the thyroid nodules is to-date based on FNB, and the benefits from FNB (elimination of needless imaging and surgery) far outweigh the potential risk for NTS.
BACKGROUNDBecause of its accuracy and cost-effectiveness, thyroid fine needle biopsy (FNB) is the procedure of choice in the preoperative management of thyroid nodules. Needle tract seeding (NTS) has been a concern since the earliest days of FNB, contributing to the delayed acceptance of FNB as a safe procedure. In this review we tried to systematically record all reports of NTS after diagnostic thyroid FNB and provide useful hints to minimize the risk of NTS. METHODSComputerized advanced search for primary evidence was performed in the PubMed (Public/Publisher Medline) electronic database. The search was not limited by publication time or English language. RESULTSTen relevant articles were found: eight case reports, one case in a surgical series, and one retrospective observational study. CONCLUSIONSDespite initial concerns about the risk of NTS, FNB is now considered to be a safe procedure. Although proper FNB technique can reduce its risk, NTS is an unavoidable complication of FNB, which clinicians should be aware of. However, the incidence of NTS is low and it doesn't seem to affect the prognosis because the seedings can be surgically removed without recurrence. The management of the thyroid nodules is to-date based on FNB, and the benefits from FNB (elimination of needless imaging and surgery) far outweigh the potential risk for NTS.
Abstract Background Because of its accuracy and cost‐effectiveness, thyroid fine needle biopsy (FNB) is the procedure of choice in the preoperative management of thyroid nodules. Needle tract seeding (NTS) has been a concern since the earliest days of FNB, contributing to the delayed acceptance of FNB as a safe procedure. In this review we tried to systematically record all reports of NTS after diagnostic thyroid FNB and provide useful hints to minimize the risk of NTS. Methods Computerized advanced search for primary evidence was performed in the PubMed (Public/Publisher Medline) electronic database. The search was not limited by publication time or English language. Results Ten relevant articles were found: eight case reports, one case in a surgical series, and one retrospective observational study. Conclusions Despite initial concerns about the risk of NTS, FNB is now considered to be a safe procedure. Although proper FNB technique can reduce its risk, NTS is an unavoidable complication of FNB, which clinicians should be aware of. However, the incidence of NTS is low and it doesn’t seem to affect the prognosis because the seedings can be surgically removed without recurrence. The management of the thyroid nodules is to‐date based on FNB, and the benefits from FNB (elimination of needless imaging and surgery) far outweigh the potential risk for NTS.
Because of its accuracy and cost-effectiveness, thyroid fine needle biopsy (FNB) is the procedure of choice in the preoperative management of thyroid nodules. Needle tract seeding (NTS) has been a concern since the earliest days of FNB, contributing to the delayed acceptance of FNB as a safe procedure. In this review we tried to systematically record all reports of NTS after diagnostic thyroid FNB and provide useful hints to minimize the risk of NTS. Computerized advanced search for primary evidence was performed in the PubMed (Public/Publisher Medline) electronic database. The search was not limited by publication time or English language. Ten relevant articles were found: eight case reports, one case in a surgical series, and one retrospective observational study. Despite initial concerns about the risk of NTS, FNB is now considered to be a safe procedure. Although proper FNB technique can reduce its risk, NTS is an unavoidable complication of FNB, which clinicians should be aware of. However, the incidence of NTS is low and it doesn't seem to affect the prognosis because the seedings can be surgically removed without recurrence. The management of the thyroid nodules is to-date based on FNB, and the benefits from FNB (elimination of needless imaging and surgery) far outweigh the potential risk for NTS.[PUBLICATION ABSTRACT]
Author Anastasilakis, Athanasios D.
Polyzos, Stergios A.
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  fullname: Anastasilakis, Athanasios D.
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/20049437$$D View this record in MEDLINE/PubMed
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Keywords Papillary Thyroid Carcinoma
Medullary Thyroid Carcinoma
Thyroid Carcinoma
Thyroid Nodule
Core Needle Biopsy
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springer_journals_10_1007_s00268_009_0362_2
PublicationCentury 2000
PublicationDate April 2010
PublicationDateYYYYMMDD 2010-04-01
PublicationDate_xml – month: 04
  year: 2010
  text: April 2010
PublicationDecade 2010
PublicationPlace New York
PublicationPlace_xml – name: New York
– name: United States
– name: Lupsingen
PublicationSubtitle Official Journal of the International Society of Surgery/Société Internationale de Chirurgie
PublicationTitle World journal of surgery
PublicationTitleAbbrev World J Surg
PublicationTitleAlternate World J Surg
PublicationYear 2010
Publisher Springer-Verlag
Springer‐Verlag
Springer Nature B.V
Publisher_xml – name: Springer-Verlag
– name: Springer‐Verlag
– name: Springer Nature B.V
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  publication-title: Dan Med Bull
  contributor:
    fullname: Struve‐Christensen E
– ident: e_1_2_8_36_2
  doi: 10.1007/s00432‐008‐0373‐7
– ident: e_1_2_8_58_2
  doi: 10.1089/105072501753211055
– ident: e_1_2_8_6_2
  doi: 10.1055/s‐2008‐1080922
– ident: e_1_2_8_45_2
  doi: 10.1016/j.urology.2005.04.005
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Snippet Background Because of its accuracy and cost-effectiveness, thyroid fine needle biopsy (FNB) is the procedure of choice in the preoperative management of...
Background Because of its accuracy and cost‐effectiveness, thyroid fine needle biopsy (FNB) is the procedure of choice in the preoperative management of...
Because of its accuracy and cost-effectiveness, thyroid fine needle biopsy (FNB) is the procedure of choice in the preoperative management of thyroid nodules....
Abstract Background Because of its accuracy and cost‐effectiveness, thyroid fine needle biopsy (FNB) is the procedure of choice in the preoperative management...
BACKGROUNDBecause of its accuracy and cost-effectiveness, thyroid fine needle biopsy (FNB) is the procedure of choice in the preoperative management of thyroid...
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StartPage 844
SubjectTerms Abdominal Surgery
Biopsy, Fine-Needle - adverse effects
Cardiac Surgery
Core Needle Biopsy
General Surgery
Humans
Medicine
Medicine & Public Health
Medullary Thyroid Carcinoma
Neoplasm Seeding
Papillary Thyroid Carcinoma
Risk Factors
Surgery
Thoracic Surgery
Thyroid Carcinoma
Thyroid Neoplasms - diagnosis
Thyroid Neoplasms - pathology
Thyroid Nodule
Vascular Surgery
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Title A Systematic Review of Cases Reporting Needle Tract Seeding Following Thyroid Fine Needle Biopsy
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