Evidence map›Paper›PMID 24596718›Full record

ArticleJournal of clinical and diagnostic research : JCDR2014

Efficacy and Pitfalls of FNAC of Thyroid Lesions in Children and Adolescents.

Vidya Vasudev, Hemalatha A L, Rakhi B, Githanjali S

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Article in Journal of clinical and diagnostic research : JCDR, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Vidya VasudevAssistant Professor, Department of Pathology, Mysore Medical College and Research Institute , Mysore, Karnataka, India .
Hemalatha A LProfessor and HOD, Department of Pathology, Mysore Medical College and Research Institute , Mysore, Karnataka, India .
Rakhi BPost Graduate, Department of Pathology, Mysore Medical College and Research Institute , Mysore, Karnataka, India .
Githanjali SPost Graduate, Department of Pathology, Mysore Medical College and Research Institute , Mysore, Karnataka, India .

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesFine-needle aspiration has proven safe and efficacious in the evaluation of nodular diseases in the adults. It has been used extensively to select patients for surgical exploration with a high degree of reliability. The purpose of this study was to assess the extent of its applicability in thyroid lesions in children and adolescents, as well as to determine distribution of thyroid lesions in pediatric and adolescent patients in whom the prevalence of thyroid nodules and probability of malignancy are different. METHODOLOGY: This is a four-year study undertaken between January 2009 and December 2012, during which, 284 fine-needle aspiration cytology were performed for palpable thyroid lesions in children and adolescents and analysed. Out of these 11, 52, 82 and 116 aspirates belonged to the age group between 7-<12 years, 12 -<16 years, 16 -<19 years, 19-21 years respectively. There were 261 (91.9%) satisfactory aspirates and 23 unsatisfactory aspirates (8.1%). These 261 satisfactory aspirates with adequate cellular material were taken up for interpretation and analysed. Thirty one patients underwent thyroidectomy. There were 4 true positives, 24 true negatives, 2 false positives and one false negative case in this study. Sensitivity, Specificity, Accuracy, Positive predictive value and Negative predictive value were calculated.

resultsBenign cytology was reported in 89 cases (34.2%) where 11 cases (4.2%) were males. Thyroiditis was observed in 154 cases (59%) and 8 cases (3.1%) were males. Suspicious cytology was reported in 12 cases and comprised of 2 cases with a suspicion of Papillary Carcinoma and 10 cases (3.8%), with a suspicion of a Follicular lesion. Papillary Carcinoma was detected on 6 cases where all were females. The Sensitivity was 96%, Specificity was 66% and the Accuracy was 90%, Positive predictive value was 66%, Negative predictive value was 96%.

conclusionFine-needle aspiration cytology of palpable thyroid lesions in children and adolescents is a good screening test because of its high sensitivity. Majority of the nodules in this age-group are benign and fine-needle aspiration cytology helps prevent unnecessary surgery.

Indexed as

BiopsyFine needle aspirationSuspicious malignancyThyroid lesions

Identifiers

PMID24596718
PMCPMC3939581

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