Tiroid Nodülü Tanısında İnce İğne Aspirasyon Biyopsisi Tekrarı Gerekli Midir?

Year 2022, , 721 - 727, 28.12.2022

Recayi Capoglu , Zulfu Bayhan , Emre Gönüllü , Mertcan Akçay , Ahmet Tarık Harmantepe , Furkan Kucuk , Hakan Demir

https://doi.org/10.31832/smj.1183637

Abstract

Amaç : Günümüzde yapılan bazı tiroid biyopsi sonuçlarında takip mi yoksa tedavi mi konusu halen tartışmalıdır. Hangi özelliklere sahip Tiroid nodüllerinde ameliyat veya takip yapılmasında birden fazla biyopsi yapılmasının tedavideki yerini araştırmayı amaçladık
Yöntem : Bir üçüncü basamak hastanede 2014-2022 yılları arasında Tiroidektomi yapılan olgular retrospektif incelendi. Preoperatif biyopsi ve postoperatif patoloji sonuçları bağımsız değişkenlerle karşılaştırıldı.
Bulgular : Radyolojik TI-RADS sınıflaması yüksek, artmış nodül çapı olan ve ilaçla regüle olan grupta artmış malignite riski görüldü (p < 0.05). Önemi belirsiz atipi grubunda artmış TI-RADS postoperatif malign patolojiyle uyumlu bulundu.
Sonuç : İlk biyopsi sonucu cerrahi açıdan şüpheli olgularda TI-RADS sınıflaması ve nodül çapı tedavi açısından yol gösterici olabilir.

Keywords

İnce İğne Aspirasyon Biyopsisi, Tiroid Nodülü, Önemi Belirsi Atipi, Tiroidektomi

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