Department of Endocrinology and Diabetes, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
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Patients Total thyroidectomy was performed in all patients with malignancy or suspicious for malignancy confirmed by preoperative fine-needle aspiration biopsy. Patients in whom the initial surgical procedure was lobectomy underwent completion
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benign nodules, which can be managed conservatively. Suspicious US features described to select nodules with malignancy potential to undergo fine needle aspiration (FNA) included hypoechogenicity, microcalcifications, irregular margins, non
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performed in 4 cases (30.77%), with consistent findings of a cold area with no iodine uptake. A CT scan was obtained in 9 cases (69.23%), and MRI in just 1 case (7.69%). As an initial diagnostic test, 7 patients underwent fine needle aspiration cytology
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nodular – regardless of their volumes – or to show the mildest degrees of enlargement as compared to reference volumes were considered to have bilateral disease. For more accurate assessment of the contralateral lobe, intraoperative fine-needle aspiration
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Instituto Nacional de Câncer - INCA, Rio de Janeiro, Brazil
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carcinoma, oxyphilic type. Distinguishing a benign neoplasm from a malignant neoplasm based on cytologic analysis of fine-needle aspiration biopsy is not possible. Features such as pleomorphism, anaplasia, hyperchromatism, and atypia are also observed in
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Institute of Endocrinology, Lithuanian University of Health Sciences, Kaunas, Lithuania
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left lobe (47.37%), p = 0.73]. Nodule microcalcification was seen in 14 cases (24.56%), irregular margins in 47 cases (82.46%), active blood flow in 38 cases (66.67%), and reactive regional lymph nodes in 4 cases (7.02%). Fine-Needle Aspiration
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existed within each nodule separately or individually on Doppler ultrasonography (Fig. 1 a). Fine-needle aspiration cytology revealed a “follicular neoplasm.” A right lobectomy of the thyroid was performed, and the whole nodule was diagnosed as a
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images in B-mode and Doppler regimen were recorded and stored at first visualization before the application of fine-needle aspiration biopsy (FNAB) using different ultrasound machines: Aixplorer (France), Voluson E8 (GE, USA), Hitachi (Japan), or Aloka
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diagnostic pressure, namely fine-needle aspiration biopsies of thyroid nodules, were reported at the population level in some Italian areas after 2014 ( 24 ). Meanwhile, the growth in thyroid cancer surgery previously registered in Italy leveled off after
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Dipartimento di Scienze Cliniche e di Comunità, Università degli Studi di Milano, Milan, Italy
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performing and not directly performing thyroid US in immediately and better identifying the nodules (those classified as borderline, suspicious of malignancy or malignant) worthy of further investigations (i.e. fine-needle aspiration and cytology), and