Core‐needle biopsy versus repeat fine‐needle aspiration for thyroid nodules initially read as atypia/follicular lesion of undetermined significance. Issue 2 (5th October 2016)

• Record Type: Journal Article
• Authors: Choi, Young Jun; Baek, Jung Hwan; Suh, Chong Hyun; Shim, Woo Hyun; Jeong, Boseul; Kim, Jae Kyun; Song, Dong Eun; Kim, Tae Yong; Chung, Ki‐Wook; Lee, Jeong Hyun
• Is Part Of: Head & neck. Volume 39:Issue 2(2017)
• Page Start: 361
• Page End: 369
• Publication Date: 2016-10-05
• Subjects: core‐needle biopsy -- atypia of undetermined significance -- follicular lesion of undetermined significance -- ultrasound -- fine‐needle aspiration; Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.24597
• Languages: English
• ISSNs: 1043-3074

Abstract

Abstract: Background: The purpose of this study was to evaluate the role of core‐needle biopsy (CNB) by comparing the results of CNB and repeat fine‐needle aspiration (FNA) for thyroid nodules that are initially read as atypia/follicular lesion of undetermined significance (AUS/FLUS) on FNA. Methods: Among 2631 initial AUS/FLUS FNA results, 505 consecutive nodules (295 repeat FNAs and 210 CNBs) were retrospectively analyzed. The primary outcome was inconclusive (ie, nondiagnostic or AUS/FLUS). The secondary outcomes included inconclusive results of the subcategory, risk factors for inconclusive results, and diagnostic performance. Results: CNB demonstrated significantly fewer inconclusive results than repeat FNA for the overall nodules (40.9% vs 63%; p < .001). Repeat FNA and group FLUS were significant risk factors for inconclusive results (odds ratio = 1.92; p =.001 and odds ratio = 2.08; p <.001, respectively). All diagnostic performances using CNB were higher than repeat FNAs. Conclusion: CNB is more useful than repeat FNAs for reducing inconclusive results and improving the diagnostic performance of thyroid nodules with initial AUS/FLUS FNA results. © 2016 Wiley Periodicals, Inc. Head Neck 39: 361–369, 2017