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Andrea Palermo Unit of Endocrinology and Diabetes, Campus Bio-Medico University, Rome, Italy

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Andrea Napolitano Department of Medical Oncology, Campus Bio-Medico University, Rome, Italy

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Daria Maggi Unit of Endocrinology and Diabetes, Campus Bio-Medico University, Rome, Italy

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Anda Mihaela Naciu Unit of Endocrinology and Diabetes, Campus Bio-Medico University, Rome, Italy

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Gaia Tabacco Unit of Endocrinology and Diabetes, Campus Bio-Medico University, Rome, Italy

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Silvia Manfrini Unit of Endocrinology and Diabetes, Campus Bio-Medico University, Rome, Italy

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Anna Crescenzi Department of Anatomic Pathology, Campus Bio-Medico University, Rome, Italy

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Chiara Taffon Department of Anatomic Pathology, Campus Bio-Medico University, Rome, Italy

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Francesco Pantano Department of Medical Oncology, Campus Bio-Medico University, Rome, Italy

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Bruno Vincenzi Department of Medical Oncology, Campus Bio-Medico University, Rome, Italy

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Guiseppe Tonini Department of Medical Oncology, Campus Bio-Medico University, Rome, Italy

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Daniele Santini Department of Medical Oncology, Campus Bio-Medico University, Rome, Italy

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follow-up neck US, in which a significant volumetric increase in the nodule was detected (dimensions of 14 × 10 × 18 mm, vol 1.3 mL) (Fig. 2 a), and fine needle aspiration was performed. Cytological smears showed scanty atypical thyrocytes in a bloody

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Kristine Z Swan Department of ORL, Head- and Neck Surgery, Aarhus University Hospital, Aarhus, Denmark

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Johnson Thomas Department of Endocrinology, Mercy Hospital, Springfield, Missouri, USA

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Viveque E Nielsen Department of ORL, Head- and Neck Surgery, Odense University Hospital, Odense, Denmark

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Marie Louise Jespersen Department of Pathology, Aarhus University Hospital, Aarhus, Denmark

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Steen J Bonnema Department of Endocrinology, Odense University Hospital, Odense, Denmark

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based on ultrasound images collected retrospectively from a different institution. The secondary aim was to assess the performance of AIBx applied to thyroid nodules with indeterminate cytology. Materials and methods This was a single

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Furio Pacini Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy

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methodological issues, such as the need for an experienced US operator, careful inspection of all lymph node chains (from level II to level VI), standardization of the method for US-FNA of suspicious nodes for both cytology and Tg measurement (or calcitonin in

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Rachelle P Mendoza Department of Pathology, University of Rochester Medical Center, Rochester, New York, USA

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Richard Cody Simon Department of Pathology, University of Chicago, Chicago, Illinois, USA

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Nicole A Cipriani Department of Pathology, University of Chicago, Chicago, Illinois, USA

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Tatjana Antic Department of Pathology, University of Chicago, Chicago, Illinois, USA

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Introduction Fine needle aspiration cytology (FNA) is widely accepted as the most accurate and cost-effective diagnostic procedure in the assessment of thyroid nodules. The Bethesda System outlines the diagnostic categories for thyroid nodules

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Satoshi Koyama Department of Otolaryngology Head and Neck Surgery, Tottori University Faculty of Medicine, Yonago, Japan

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Naritomo Miyake Department of Otolaryngology Head and Neck Surgery, Tottori University Faculty of Medicine, Yonago, Japan

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Kazunori Fujiwara Department of Otolaryngology Head and Neck Surgery, Tottori University Faculty of Medicine, Yonago, Japan

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Tsuyoshi Morisaki Department of Otolaryngology Head and Neck Surgery, Tottori University Faculty of Medicine, Yonago, Japan

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Takahiro Fukuhara Department of Otolaryngology Head and Neck Surgery, Tottori University Faculty of Medicine, Yonago, Japan

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Hiroya Kitano Department of Otolaryngology Head and Neck Surgery, Tottori University Faculty of Medicine, Yonago, Japan
Center for Head and Neck Surgery, Kusatsu General Hospital, Kusatsu, Japan

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Hiromi Takeuchi Department of Otolaryngology Head and Neck Surgery, Tottori University Faculty of Medicine, Yonago, Japan

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-needle aspiration cytology. Liquid-based cytology and cell block cytology techniques were combined with the conventional technique. Only case 5 was histologically diagnosed using lymph node biopsy because of insufficient information from fine-needle aspiration

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Mitsuaki Tokumaru Department of Internal Medicine, Enshu Hospital, Hamamatsu, Japan

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Kenji Ohba Department of Internal Medicine, Enshu Hospital, Hamamatsu, Japan
Second Division, Department of Internal Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan

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Kennichi Kakudo Department of Pathology and Thyroid Disease Center, Izumi City General Hospital, Izumi, Japan

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Takafumi Suda Second Division, Department of Internal Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan

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Yutaka Oki Department of Family and Community Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan

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Yoshie Goto Department of Internal Medicine, Enshu Hospital, Hamamatsu, Japan

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border was well defined, and its margin showed a broccoli-like growth pattern. Based on US findings (Fig.  1 a, b), we initially suspected thyroid lymphoma [ 5 ]; however, fine-needle aspiration cytology (FNAC) findings revealed the benign cytological

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Hélène Théodon Department of Thyroid and Endocrine Tumors, Sorbonne Université, GRC n°16, GRC Tumeurs Thyroïdiennes, Pitié-Salpêtrière Hospital, Paris, France

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Erell Guillerm Department of Oncogenetic, Sorbonne Université, GRC n°16, GRC Tumeurs Thyroïdiennes, Pitié-Salpêtrière Hospital, Paris, France

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Johanna Wassermann Department of Oncology, Sorbonne Université, GRC n°16, GRC Tumeurs Thyroïdiennes, Pitié-Salpêtrière Hospital, Paris, France

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Gabrielle Deniziaut Department of Pathology, Sorbonne Université, GRC n°16, GRC Tumeurs Thyroïdiennes, Pitié-Salpêtrière Hospital, Paris, France

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Loïc Jaffrelot Department of Oncology, Sorbonne Université, GRC n°16, GRC Tumeurs Thyroïdiennes, Pitié-Salpêtrière Hospital, Paris, France

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Jérome Denis Department of Endocrine and Oncology Biochemistry, Sorbonne Université, Pitié-Salpêtrière Hospital, Paris, France

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Nathalie Chereau Department of Endocrine Surgery, Sorbonne Université, GRC n°16, GRC Tumeurs Thyroïdiennes, Pitié-Salpêtrière Hospital, Paris, France

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Claude Bigorgne Department of Pathology, Sorbonne Université, GRC n°16, GRC Tumeurs Thyroïdiennes, Pitié-Salpêtrière Hospital, Paris, France

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Wiame Potonnier Department of Pathology, Sorbonne Université, GRC n°16, GRC Tumeurs Thyroïdiennes, Pitié-Salpêtrière Hospital, Paris, France

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Florence Coulet Department of Oncogenetic, Sorbonne Université, GRC n°16, GRC Tumeurs Thyroïdiennes, Pitié-Salpêtrière Hospital, Paris, France

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Laurence Leenhardt Department of Thyroid and Endocrine Tumors, Sorbonne Université, GRC n°16, GRC Tumeurs Thyroïdiennes, Pitié-Salpêtrière Hospital, Paris, France

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Camille Buffet Department of Thyroid and Endocrine Tumors, Sorbonne Université, GRC n°16, GRC Tumeurs Thyroïdiennes, Pitié-Salpêtrière Hospital, Paris, France

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surgery ( n  = 1) A non-metastatic neck lymph node or mass ( n  = 19) In total, 34 DNA and/or RNA-based NGS analyses were included, performed on cytologically proven recurrent thyroid cancer metastatic neck lymph nodes or masses ( Fig. 1

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Gilles Russ Thyroid and Endocrine Tumor Unit, Department of Nuclear Medicine, Pitié Salpêtrière Hospital, University Pierre et Marie Curie, Paris, France

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Sophie Leboulleux Department of Nuclear Medicine and Endocrine Oncology, Institut Gustave Roussy, University Paris-Sud, Villejuif, France

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Laurence Leenhardt Thyroid and Endocrine Tumor Unit, Department of Nuclear Medicine, Pitié Salpêtrière Hospital, University Pierre et Marie Curie, Paris, France

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Laszlo Hegedüs Department of Endocrinology and Metabolism, Odense University Hospital, Odense, Denmark

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simplify the system designed by Park et al. [ 30 ] in a multicenter retrospective study of 1,658 nodules >10 mm, 298 of which were surgically removed. The total number of cytologically indeterminate nodules is not available, but all the ones retained in the

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L. Leenhardt Department of Nuclear Medicine, Pitié Salpêtrière Hospital, Cancer Institute, Pierre et Marie Curie University, Paris, France

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M.F. Erdogan Department of Endocrinology and Metabolism, University of Ankara School of Medicine, İbni Sina Hastanesi, Ankara, Turkey

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L. Hegedus Department of Endocrinology and Metabolism, Odense University Hospital, Odense, Denmark

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S.J. Mandel Division of Endocrinology, Diabetes and Metabolism, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa., USA

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R. Paschke Department of Endocrinology, University of Leipzig, Leipzig, Germany

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T. Rago Endocrine Unit 1, Department of Internal Medicine, Ospedale Cisanello, University of Pisa, Pisa, Italy

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G. Russ Department of Nuclear Medicine, Pitié Salpêtrière Hospital, Cancer Institute, Pierre et Marie Curie University, Paris, France

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tip. For LNs with mixed content and a significant solid portion, the needle should target the solid portion for cytology assessment and the fluid can be aspirated for Tg measurement and also for cytological study after centrifugation. A 24- to 27-gauge

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Zoë Y.G.J. van Lierop Department of Neurology, Maastricht University Medical Centre, Maastricht, The Netherlands

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Sander Jentjens Department of Radiology and Nuclear Medicine, Maastricht University Medical Centre, Maastricht, The Netherlands

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Monique H.M.E. Anten Department of Neurology, Maastricht University Medical Centre, Maastricht, The Netherlands
Neurofibromatosis Expert Team, Maastricht University Medical Centre, Maastricht, The Netherlands

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Roel Wierts Department of Radiology and Nuclear Medicine, Maastricht University Medical Centre, Maastricht, The Netherlands

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Connie T. Stumpel Neurofibromatosis Expert Team, Maastricht University Medical Centre, Maastricht, The Netherlands
Department of Clinical Genetics, Maastricht University Medical Centre, Maastricht, The Netherlands

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Bas Havekes Division of Endocrinology, Department of Internal Medicine, Maastricht University Medical Centre, Maastricht, The Netherlands

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Marinus J.P.G. van Kroonenburgh Neurofibromatosis Expert Team, Maastricht University Medical Centre, Maastricht, The Netherlands
Department of Radiology and Nuclear Medicine, Maastricht University Medical Centre, Maastricht, The Netherlands

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clinical information on possible thyroid disease. Reports on thyroid US were collected, as were fine-needle aspiration cytology, histology after (hemi) thyroidectomy, and FT4 and/or TSH levels that were measured closest to the time of the first PET/CT scan

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