SHOULD FNA BE PERFORMED IN PATIENTS WITH A MULTINODULAR GOITER AND COMPRESSIVE SYMPTOMS?

In this study, we aimed to determine whether preoperative thyroid fine-needle aspiration (FNA) in patients with multinodular goiter (MNG) and compressive symptoms influences the type of thyroid surgery performed, the incidence of recurrent thyroid cancer, or the need for successive surgery. We retro...

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Bibliographic Details
Published in:	Endocrine practice Vol. 22; no. 8; p. 970
Main Authors:	Manuel, Dana Chanes, Betancourt, Jessica Lee, Puthanveedu, Nitin Dk, Kachur, Sergey, Williams, Sandra F, Cabral, Jose M, Villabona, Carmen V, Jose, Tessey C
Format:	Journal Article
Language:	English
Published:	United States 01-08-2016
Subjects:	Biopsy, Fine-Needle - statistics & numerical data Constriction, Pathologic - etiology Constriction, Pathologic - pathology Female Goiter, Nodular - complications Goiter, Nodular - pathology Goiter, Nodular - surgery Humans Male Middle Aged Retrospective Studies Thyroid Neoplasms - pathology Thyroid Neoplasms - surgery Thyroidectomy Trachea - pathology
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Summary:	In this study, we aimed to determine whether preoperative thyroid fine-needle aspiration (FNA) in patients with multinodular goiter (MNG) and compressive symptoms influences the type of thyroid surgery performed, the incidence of recurrent thyroid cancer, or the need for successive surgery. We retrospectively reviewed the charts of 431 patients who underwent thyroidectomy at our institution from 2008 to 2011. Patients who presented with compressive symptoms and no prior FNA at initial presentation were included in this study. Eighty patients met the criteria for our study, of which 46 (57.5%) underwent FNA prior to surgery and 34 (42.5%) were referred to surgery without FNA. The prevalence rates of malignancy (>1 cm) on surgical pathology in the FNA and non-FNA groups were 41% (n = 19) and 38% (n = 13), respectively. There was no statistically significant difference between the rate of total/subtotal thyroidectomies (71.7% in FNA vs. 79.4% in non-FNA, P = .31), lobectomies/partial thyroidectomies (28.3% in FNA vs. 20.5% in non-FNA, P = .43), neck lymph node dissections (P = .89) or subsequent surgeries (P = .72) between the 2 groups. Our findings show that preoperative FNA in patients with an MNG and compressive symptoms does not influence the type of surgery performed, short-term outcomes, or the need for subsequent surgeries. Further studies are needed to validate the need for preoperative FNA in such patients. FNA = fine-needle aspiration MNG = multinodular goiter WHO = World Health Organization.
ISSN:	1530-891X
DOI:	10.4158/EP151149.OR