THE EVALUATION OF PATIENTS DIAGNOSED WITH ATYPIA OF UNIDENTIFIED SIGNIFICANCE AFTER A FINE NEEDLE ASPIRATION BIOPSY OF THE THYROID

Öz

Objective: Thyroid gland diseases are one of the most important endocrine problems. The main role of thyroid fine needle aspiration biopsy (TFNAC); to distinguish patients in terms of surgical and conservative treatment options. The aim of this study was to compare the results of thyroid fine needle aspiration biopsy (TFNAC) and histopathology report of patients who underwent thyroidectomy at the Ankara Training and Research Hospital, and to evaluate the TFNAC efficacy in thyroid nodules.

Material and Methods: The histopathological data of patients who were diagnosed with atypia of unidentified significance (AUS) at the Ankara Training and Research Hospital between 2007 and 2012 and who underwent a thyroidectomy operation were compared.

Results: A total of 87 patients were included in our study. 77 (88.5%) patients were female and 10 (11.5%) patients were male. 77 female patients were diagnosed as benign nodules, 55 (71.4%) and 22 (28.6%) malignant nodules. Eight (80%) of 10 male patients were diagnosed as benign, and 2 (20%) of malignant nodules.

Conclusion: Patients diagnosed with atypical significance should be evaluated clinically as a whole, including demographic features such as age and gender, radiological examination, detailed history and physical examination, and surgical decisions should be made according to these features.

Anahtar Kelimeler

• : Thyroid
• nodule
• fine needle aspiration biopsy
• atypia of unidentified significance

TİROİD İNCE İĞNE ASPİRASYON BİYOPSİSİ SONUCU ÖNEMİ BELİRSİZ ATİPİ TANISI KONULAN HASTALARIN DEĞERLENDİRİLMESİ

Öz

Amaç: Tiroid bez hastalıkları en önemli endokrin sorunlarından biridir. Tiroid ince iğne aspirasyon biyopsisi (TİİAB)'nin ana rolü; hastaları cerrahi ve konservatif tedavi seçenekleri açısından ayırt etmektir. Bu çalışma ile Ankara Eğitim ve Araştırma Hastanesi’nde tiroidektomi operasyonu uygulanmış hastalara ilişkin tiroid ince iğne aspirasyon biyopsisi (TİİAB) sonuçları ile histopatoloji rapor sonuçlarının karşılaştırılarak, tiroid nodüllerindeki İİAB etkinliğinin değerlendirilmesi amaçlanmıştır.

Gereç ve Yöntemler: Ankara Eğitim ve Araştırma Hastanesi’nde 2007-2012 yılları arasında TİİAB sonucu önemi belirsiz atipi (AUS) tanısı konulan ve  troidektomi operasyonu yapılan hastaların histopatolojik verileri karşılaştırıldı.

Bulgular: Çalışmamıza toplam 87 hasta dahil edildi. 77 (% 88.5) hasta kadın, 10 (% 11.5) hasta erkekti. 77 kadın hastaya 55'i (% 71.4) benign, 22'si (% 28.6) malign nodül teşhisi konuldu. On erkek hastanın 8'ine (% 80) benign, 2'sine (% 20) malign nodül teşhisi konmuştur.

Sonuç: Önemi belirsiz atipi teşhisi konan hastalar, yaş ve cinsiyet gibi demografik özellikleri, radyolojik inceleme, ayrıntılı öykü ve fizik muayene dahil olmak üzere klinik olarak bir bütün olarak değerlendirilmeli ve cerrahi kararları bu özelliklere göre verilmelidir.

Anahtar Kelimeler

• Tiroid
• nodül
• ince iğne aspirasyon biyopsisi
• önemi belirsiz atipi

Kaynakça

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