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dc.typeArtigo de periódicopt
dc.title[repeated Fine-needle Aspiration Cytology For The Diagnosis And Follow-up Of Thyroid Nodules].pt
dc.contributor.authorGraciano, Agnaldo Josépt
dc.contributor.authorChone, Carlos Takahiropt
dc.contributor.authorFischer, Carlos Augustopt
dc.contributor.authorBublitz, Giuliano Stefanellopt
dc.contributor.authorPeixoto, Ana Jacinta de Aquinopt
unicamp.authorCarlos Takahiro Chone, Disciplina de Otorrinolaringologia Cabeça e Pescoço, Universidade Estadual de Campinas (UNICAMP), Campinas, SP, José Graciano, Hospital São José, Joinville, SC, Brazil. Electronic address: Augusto Fischer, Setor de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Hospital São José, Joinville, SC, Stefanello Bublitz, Serviços Integrados de Patologia, Joinville, SC, Jacinta de Aquino Peixoto, Hospital São José, Joinville, SC,
dc.subjectAged, 80 And Overpt
dc.subjectBiopsy, Fine-needlept
dc.subjectCohort Studiespt
dc.subjectDiagnosis, Differentialpt
dc.subjectLongitudinal Studiespt
dc.subjectMiddle Agedpt
dc.subjectRetrospective Studiespt
dc.subjectThyroid Glandpt
dc.subjectThyroid Neoplasmspt
dc.subjectThyroid Nodulept
dc.subjectYoung Adultpt
dc.subjectBiópsia Por Agulha Finapt
dc.subjectFine Needle Biopsypt
dc.subjectGlândula Tireoidept
dc.subjectHead And Neck Neoplasmspt
dc.subjectNeoplasias Da Glândula Tireoidept
dc.subjectNeoplasias De Cabeça E Pescoçopt
dc.subjectThyroid Glandpt
dc.subjectThyroid Neoplasmspt
dc.description.abstractThe recently-proposed Bethesda reporting system has offered clinical recommendations for each category of reported thyroid cytology, including repeated fine-needle aspiration (FNA) for non-diagnostic and atypia/follicular lesions of undetermined significance, but there are no sound indications for repeated examination after an initial benign exam. To investigate the clinical validity of repeated FNA in the management of patients with thyroid nodules. The present study evaluated 412 consecutive patients who had repeated aspiration biopsies of thyroid nodules after an initial non-diagnostic, atypia/follicular lesion of undetermined significance, or benign cytology. The majority of patients were female (93.5%) ranging from 13 to 83 years. Non-diagnostic cytology was the most common indication for a repeated examination in 237 patients (57.5%), followed by benign (36.8%), and A/FLUS (5.6%) cytology. A repeated examination altered the initial diagnosis in 70.5% and 78.3% of the non-diagnostic and A/FLUS patients, respectively, whereas only 28.9% of patients with a benign cytology presented with a different diagnosis on a sequential FNA. Repeat FNA is a valuable procedure in cases with initial non-diagnostic or A/FLUS cytology, but its routine use for patients with an initial benign examination appears to not increase the expected likelihood of a malignant finding.en
dc.relation.ispartofBrazilian Journal Of Otorhinolaryngologyen
dc.relation.ispartofabbreviationBraz J Otorhinolaryngolpt
dc.identifier.citationBrazilian Journal Of Otorhinolaryngology. v. 80, n. 5, p. 422-7pt
dc.rights.holderCopyright © 2014 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights
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