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

Yıl 2020, Cilt: 22 Sayı: 3, 322 - 328, 31.12.2020

Serdar Sahin Turgut Çavuşoğlu Mehmet Kubat Hüseyin Üstün

https://doi.org/10.24938/kutfd.670331

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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