2019, Number 5
Efficiency of fine needle aspiration puncture in the diagnosis of thyroid conditions
Language: Spanish
References: 17
Page: 577-586
PDF size: 142.70 Kb.
ABSTRACT
Introduction: in the General Teaching Hospital “Dr. Agostinho Neto” the results of fine needle aspiration puncture in the diagnosis of diseases of the thyroid gland have not been specified. Objective: to specify the results of fine needle aspiration puncture for the diagnosis of diseases of the thyroid gland in the General Surgery service of the General Teaching Hospital “Dr. Agostinho Neto” from Guantanamo during the years 2016- 2018. Method: a descriptive, prospective and longitudinal study was carried out. The following variables were studied: diagnosis of thyroid disease by ultrasound and classification of TIRADS (Thyroid Imaging Reporting and Data System), fine needle aspiration puncture (FNA) and paraffin biopsy. Results: the sensitivity (70.0% 95% CI 54.6-85.5) and the specificity (75.0% 95% CI 58.4-91.6) of the FNA, as well as the positive predictive value (77.8% 95% CI 62.8-92.8) and negative (66.7% 95% CI 49.9-83.5) was limited. Conclusions: discrepancies can be seen between the diagnoses identified by fine needle aspiration puncture, which expressed that in the territorial context this showed limitations for the diagnosis of thyroid disease.REFERENCES
Guardia Gispert E de la, Quintana Proenza A, Quintana Marrero JJ, Sánchez Rojas T, Reyes Balseiro ES, Guardia Milla E de la. Panorámica diagnóstica y terapéutica del cáncer de tiroides en Camagüey. Rev Cubana Cir [en línea]. 2001 Oct [citado 7 Oct 2019]; 40(4):81-8. Disponible en: http://scielo.sld.cu/pdf/cir/v40n4/cir03401.pdf
Kim EK, Soo Park C, Youn Chung W, Keun Oh K, Kim DI, Lee JT, et al. New sonographic criteria for recommending fine needle aspiration biopsy of nonpalpable solid nodules of the thyroid. AJR Am J Roentgenol [en línea]. 2018 [citado 7 Oct 2019]; 178:687-91. Disponible en: https://www.ajronline.org/doi/abs/10.2214/ajr.178.3.1780687
Ramírez Núñez E, Moró Vela AR, llime Matos Y, Reyes Domínguez Y. Manejo quirúrgico de tumors tiroideos en el Hospital General Docente Dr. Agostinho Neto, Guantánamo 2016-2018. Rev Inf Cient [en línea]. 2019 [citado 7 Oct 2019]; 98(3):355-363. Disponible en: http://www.revinfcientifica.sld.cu/index.php/ric/article/view/2425/40 28
Kwak JY, Han KH, Yoon JH, Moon HJ, Son EJ, Park SH, et al. Thyroid imaging reporting and data system for US features of nodules: a step in establishing better stratification of cancer risk. Radiology [en línea]. 2011 [citado 7 Oct 2019]; 260(3):892-899. Disponible en: http://europepmc.org/abstract/med/21771959
CazzatoR, BonichonF, Buy X, GodbertY, de Figuereido B, Pointillart V, et al. Over ten years of single-institution experience in percutaneous image-guided treatment of bone metastases from differentiated thyroid cancer. Eur J Surg Oncol [en línea]. 2015 [citado 7 Oct 2019]; 41(9):1247-55. Disponible en: http://refhub.elsevier.com/S0326-4610(17)30007-4/sbref0580
Guevara Galarza NP. Validación ecográfica en TIRADS en pacientes con patología tiroidea. Hospital Vicente Corral Moscoso y Hospital José Carrasco Arteaga. Cuenca, 2012 [en línea]. Cuenca: Universidad de Cuenca; 2013 [citado 7 Oct 2019]. Disponible en: http://dspace.ucuenca.edu.ec/handle/123456789/20619