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ultrasonography revealed that bilateral thyroid lobes and isthmus were bulky. Normal parenchyma was replaced by heteroechoic areas and vascularity was increased. Retrosternal extension of the mass was also evident. Cytological examination of thyroid and left
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What Is Known about This Topic So Far? • Although many authors recommend a core-needle biopsy as an alternative modality in cases of inconclusive cytology with fine-needle aspiration for thyroid nodule, it is not in the American Thyroid
Thyroid Head and Neck Ablation Center, Kaohsiung Chang Gung Memorial Hospital, Taiwan
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Department of Otolaryngology, Kaohsiung Chang Gung Memorial Hospital, and Chang Gung University College of Medicine, Kaohsiung, Taiwan
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Department of Nuclear Medicine, Kaohsiung Chang Gung Memorial Hospital, and Chang Gung University College of Medicine, Kaohsiung, Taiwan
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Division of Endocrinology and Metabolism, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, and Chang Gung University College of Medicine, Kaohsiung, Taiwan
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Departments of Surgery, Kaohsiung Chang Gung Memorial Hospital, and Chang Gung University College of Medicine, Kaohsiung, Taiwan
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Thyroid Head and Neck Ablation Center, Kaohsiung Chang Gung Memorial Hospital, Taiwan
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Thyroid Head and Neck Ablation Center, Kaohsiung Chang Gung Memorial Hospital, Taiwan
Department of Radiology, Jen-Ai Hospital, Dali Branch, Taichung, Taiwan
School of Medicine, College of Medicine, National Sun Yat-Sen University, Kaohsiung City, Taiwan
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practice, thyroid nodules are being discovered with increasing frequency. Thyroid fine needle aspiration cytology (FNAC) is the most accurate test for determining malignancy and is an integral part of current thyroid nodule evaluation procedures ( 2
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surgery. However, the widespread use of ultrasonography and fine-needle aspiration cytology (FNAC) markedly increased the rate of preoperative diagnosis [ 7 ]. It is still debated if preoperatively and incidentally diagnosed MPTC have different prognoses
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sonographic findings, and fine-needle aspiration cytology is sometimes indicated to determine the histology [ 5 ]. Sonographic findings and Tg levels can help in identifying high-risk patients for whom fine-needle aspiration cytology will be definitely
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cytotechnologist, preparation methods of cytology, etc. [ 5 ]. To reduce the risk of inadequate samples in the thyroid FNAB, the American National Cancer Institute recommends 2–5 needle entries using a 22G to 27G needle and that centers have an effective
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Division of Oncology, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
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Department of Otorhinolaryngology: Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA
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) between July 2003 and July 2022. Patient demographics, medical history, thyroid US, cytology, surgical approach, pathologic features, diagnosis, and postoperative somatic oncogene findings were extracted from the hospital electronic medical record system
Department of Surgery, County Hospital Ryhov, Jönköping, Sweden
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-thyroidal indications. After clinical examination, ultrasound and fine-needle cytology, those with suspicions of malignancy and/or with clear local symptoms will subsequently be candidates for surgery whereas the indications for operative treatment are relative in those
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Introduction Currently available sonographic risk stratification systems for thyroid nodules were developed to more accurately identify those for which fine-needle aspiration cytology (FNAC) can safely be deferred [ 1 - 5 ]. The likelihood
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of progression and complications (if tumor growth occurs) is low. The criteria usually recommended are the following: (i) adult individual, (ii) tumor ≤1 cm and not adjacent to the trachea or recurrent laryngeal nerve, (iii) cytology non-suggestive of