Thyroid nodule with benign cytology: is clinical follow-up enough?
In this multicenter study, we investigated the management algorithm for thyroid nodules with benign cytology using US features from data collected from 7 institutions. The institutional review board approved this retrospective study. Data on 700 focal thyroid nodules in 673 consecutive patients were...
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Published in | PloS one Vol. 8; no. 5; p. e63834 |
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Main Authors | , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Public Library of Science
24.05.2013
Public Library of Science (PLoS) |
Subjects | |
Online Access | Get full text |
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Summary: | In this multicenter study, we investigated the management algorithm for thyroid nodules with benign cytology using US features from data collected from 7 institutions.
The institutional review board approved this retrospective study. Data on 700 focal thyroid nodules in 673 consecutive patients were collected from 7 university-affiliated hospitals. This study included nodules that were diagnosed as benign at initial cytologic evaluation and that underwent pathologic or follow-up study. The risk of malignancy was compared according to the US assessments of each institution as well as looking at all the nodules together as a whole.
Of the 700 nodules, 688 (98.3%) were benign and 12 (1.7%) were malignant. If initial cytologic results were benign, the likelihood of the nodule actually being malignant was from 1 to 3%, varying by institution. The likelihood of a cytologically benign nodule with positive US being malignant (4.7%, 8/169) was higher than that of one without positive US (0.8%, 4/531) (P = .002).
Based on our multicenter study, repeat FNA should be performed in thyroid nodules with initial benign cytology showing suspicious US features in order to decrease the number of false negative cases. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Competing Interests: The authors have declared that no competing interests exist. Conceived and designed the experiments: JYK YJC. Performed the experiments: YJC JYK JHK SJM HJK JSP JHK. Analyzed the data: IKJ JYK. Contributed reagents/materials/analysis tools: YJC JYK JHK SJM HJK JSP JHK JHS YMS JHY SK. Wrote the paper: YJC JYK. |
ISSN: | 1932-6203 1932-6203 |
DOI: | 10.1371/journal.pone.0063834 |