27G İğne ve Aspirasyon Kullanılarak Yapılan İnce İğne Aspirasyon Biyopsisinin Etkinliği

Öz

Tiroid nodüllerinin tanı ve takibinde ultrasonografi (US) değerlendirmesi, hızlı, güvenilir, non-invaziv ve tekrarlanabilir bir görüntüleme yöntemi olarak diğer radyolojik tekniklerden üstündür. Literatürde birçok farklı tiroid nodülü biyopsi tekniği bildirilmiştir. Amacımız, 27G iğne ucu ve aspirasyon kanülü kullandığımız bir tekniğin sitopatolojik yeterliliğini değerlendirmektir. Ocak 2016-Aralık 2018 tarihleri arasında ince iğne aspirasyon biyopsisi (İİAB) yapılan toplam 116 hasta çalışmaya dahil edildi. Tüm biyopsileri 10 yıllık deneyime sahip aynı radyolog gerçekleştirdi. Biyopsi için steril cerrahi örtü, 27 gauge (G) iğne, 20 cc enjektör ve aspirasyon kanülü kullanıldı. Yaşları 14 ile 80 (ortalama 45,3, SD 15,8) arasında değişen toplam 116 hastanın (84 kadın, 32 erkek) İİAB sonuçları değerlendirildi. Nodüllerin boyutları 5-40 mm arasında, ortalama boyut 18±1,3 mm idi. Nodüllerin yaklaşık %53,4'ü sağ lobda, %44'ü sol lobda ve %2,6'sı istmustaydı. Toplam 54 olguya malignite, 19'una malignite şüphesi, 43'üne ise benign patoloji tanısı konuldu. Negatif basınçla birlikte 27G iğne ve aspirasyon kanülünü kullandığımız teknikte başarı oranımız %100'dü ve bu yaklaşımın hasta yönetimine önemli katkı sağladığını düşünüyoruz.

Anahtar Kelimeler

• İnce iğne aspirasyon biyopsisi
• Tiroid nodülü
• 27G

Efficacy of Fine-Needle Aspiration Biopsy Using 27G Needle and Aspiration Cannula in Suspected Malignant Thyroid Nodules

Öz

Ultrasound (US) assessment for the diagnosis and follow-up of thyroid nodules is superior to other radiological techniques as being a fast, reliable, non-invasive, and repeatable imaging method. Many different thyroid nodule biopsy techniques have been reported in the literature. Our aim is to evaluate the cytopathological adequacy of a technique, in which we use a 27 gauge (G) needle and aspiration cannula. A total of 116 patients who underwent fine-needle aspiration biopsy (FNAB) between January 2016-December 2018 were included in the study. The same radiologist who has 10 years of experience performed all biopsies. A sterile surgical drape, 27 G needle, 20 cc syringe, and aspiration cannula were used for biopsy. The FNAB results of a total of 116 patients (84 females, 32 males) with an age range between 14 to 80 (mean 45.3, SD 15.8) years were evaluated. The sizes of the nodules were between 5-40 mm, and the mean size was 18±1.3 mm. About 53.4% of the nodules were on the right lobe, 44% on the left lobe, and 2.6% on the isthmus. A total of 54 cases were diagnosed with malignancy, 19 with a suspicion of malignancy, and 43 with benign pathologies. Our success rate was 100% in the technique, in which we use a 27G needle and aspiration cannula along with negative pressure, and we think that this approach significantly contributes to patient management.

Anahtar Kelimeler

• Fine needle aspiration biopsy
• Thyroid nodule
• 27G

Kaynakça

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