Limitations of preoperative cytology for medullary thyroid cancer : Proposal for improved preoperative diagnosis for optimal initial medullary thyroid carcinoma specific surgery
© 2020 Wiley Periodicals LLC..
BACKGROUND: Preoperative diagnosis of medullary thyroid carcinoma (MTC) is often difficult, given the poor sensitivity of fine-needle aspiration (FNA) cytology for MTC. This study investigates this issue and presents recommendations for improving preoperative diagnostic paradigms in MTC cases.
DESIGN/METHOD: Histopathologically confirmed MTC patients with preoperative cytologic assessment of index nodules were enrolled. FNA diagnosis, final pathology, and surgery details were collected.
RESULTS: Out of 71 patients, 49 (69%) were diagnosed by FNA as either definitive MTC (35, 49%) or suspected MTC (14, 20%) and 22 (31%) patients had no indication of MTC on FNA.
CONCLUSION: In a tertiary-care setting, one-third of subjects had an FNA interpretation that did not suggest the possibility of MTC. The limitations of preoperative diagnosis are especially problematic for MTC as they can cause delayed or incomplete treatment. Additional testing is proposed to improve preoperative diagnosis and surgical care of MTC patients.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:43 |
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| Enthalten in: |
Head & neck - 43(2021), 3 vom: 01. März, Seite 920-927 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Workman, Alan D [VerfasserIn] |
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| Links: |
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| Themen: |
Cytology |
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| Anmerkungen: |
Date Completed 30.06.2021 Date Revised 30.06.2021 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1002/hed.26550 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM318356899 |
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| 100 | 1 | |a Workman, Alan D |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Limitations of preoperative cytology for medullary thyroid cancer |b Proposal for improved preoperative diagnosis for optimal initial medullary thyroid carcinoma specific surgery |
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| 500 | |a Date Completed 30.06.2021 | ||
| 500 | |a Date Revised 30.06.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2020 Wiley Periodicals LLC. | ||
| 520 | |a BACKGROUND: Preoperative diagnosis of medullary thyroid carcinoma (MTC) is often difficult, given the poor sensitivity of fine-needle aspiration (FNA) cytology for MTC. This study investigates this issue and presents recommendations for improving preoperative diagnostic paradigms in MTC cases | ||
| 520 | |a DESIGN/METHOD: Histopathologically confirmed MTC patients with preoperative cytologic assessment of index nodules were enrolled. FNA diagnosis, final pathology, and surgery details were collected | ||
| 520 | |a RESULTS: Out of 71 patients, 49 (69%) were diagnosed by FNA as either definitive MTC (35, 49%) or suspected MTC (14, 20%) and 22 (31%) patients had no indication of MTC on FNA | ||
| 520 | |a CONCLUSION: In a tertiary-care setting, one-third of subjects had an FNA interpretation that did not suggest the possibility of MTC. The limitations of preoperative diagnosis are especially problematic for MTC as they can cause delayed or incomplete treatment. Additional testing is proposed to improve preoperative diagnosis and surgical care of MTC patients | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a MTC | |
| 650 | 4 | |a MTC detection | |
| 650 | 4 | |a cytology | |
| 650 | 4 | |a medullary thyroid cancer | |
| 650 | 4 | |a optimal surgery | |
| 650 | 4 | |a preoperative diagnosis | |
| 700 | 1 | |a Soylu, Selen |e verfasserin |4 aut | |
| 700 | 1 | |a Kamani, Dipti |e verfasserin |4 aut | |
| 700 | 1 | |a Nourmahnad, Anahita |e verfasserin |4 aut | |
| 700 | 1 | |a Kyriazidis, Natalia |e verfasserin |4 aut | |
| 700 | 1 | |a Saade, Ryan |e verfasserin |4 aut | |
| 700 | 1 | |a Ren, Yin |e verfasserin |4 aut | |
| 700 | 1 | |a Wirth, Lori |e verfasserin |4 aut | |
| 700 | 1 | |a Faquin, William C |e verfasserin |4 aut | |
| 700 | 1 | |a Onenerk, Ayşe M |e verfasserin |4 aut | |
| 700 | 1 | |a Nikiforov, Yuri E |e verfasserin |4 aut | |
| 700 | 1 | |a Al-Qurayshi, Zaid |e verfasserin |4 aut | |
| 700 | 1 | |a Kandil, Emad |e verfasserin |4 aut | |
| 700 | 1 | |a Kloos, Richard T |e verfasserin |4 aut | |
| 700 | 1 | |a Eldeiry, Leslie |e verfasserin |4 aut | |
| 700 | 1 | |a Lubitz, Carrie |e verfasserin |4 aut | |
| 700 | 1 | |a Stathatos, Nikolaos |e verfasserin |4 aut | |
| 700 | 1 | |a Randolph, Gregory W |e verfasserin |4 aut | |
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