Evidence map›Paper›PMID 24847454›Full record

ArticleEuropean thyroid journal2013

Positive cytology findings and a negative histological diagnosis of papillary thyroid carcinoma in the thyroid: is it a false-positive cytology or a disappearing tumor?

Eun Kyung Jang, Dong Eun Song, Gyungyub Gong, Jung Hwan Baek, Yun Mi Choi, Min Ji Jeon, Ji Min Han, Won Gu Kim, Tae Yong Kim, Young Kee Shong and 1 more

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Article in European thyroid journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Eun Kyung JangDepartment of Internal Medicine, University of Ulsan College of Medicine, Seoul, South Korea.
Dong Eun SongDepartment of Pathology, University of Ulsan College of Medicine, Seoul, South Korea.
Gyungyub GongDepartment of Pathology, University of Ulsan College of Medicine, Seoul, South Korea.
Jung Hwan BaekDepartment of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Yun Mi ChoiDepartment of Internal Medicine, University of Ulsan College of Medicine, Seoul, South Korea.
Min Ji JeonDepartment of Internal Medicine, University of Ulsan College of Medicine, Seoul, South Korea.
Ji Min HanDepartment of Internal Medicine, University of Ulsan College of Medicine, Seoul, South Korea.
Won Gu KimDepartment of Internal Medicine, University of Ulsan College of Medicine, Seoul, South Korea.
Tae Yong KimDepartment of Internal Medicine, University of Ulsan College of Medicine, Seoul, South Korea.
Young Kee ShongDepartment of Internal Medicine, University of Ulsan College of Medicine, Seoul, South Korea.
Won Bae KimDepartment of Internal Medicine, University of Ulsan College of Medicine, Seoul, South Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt infrequently occurs that cytologic diagnosis of papillary thyroid carcinoma (PTC) cannot be confirmed by histology after surgery. This phenomenon may be a false-positive cytology or a true disappearing tumor.

objectivesWe evaluated patients who had consistent findings of PTC at fine needle aspiration cytology (FNAC) and no evidence of PTC in surgical specimens.

methodsPositive cytology findings and a negative histological diagnosis of PTC in the thyroid was defined as thyroid nodules with FNAC findings of PTC prior to surgery and no evidence of malignancy on histological examination of surgically removed thyroids. We retrospectively reviewed patients who underwent fine needle aspiration (FNA) and thyroidectomy in Asan Medical Center from 2004 to 2012.

resultsSix patients were found who fit the definition of positive cytology findings and a negative histological diagnosis of PTC in the thyroid. The FNAC diagnosis of 6 patients was 'malignancy
 ' suggesting PTC according to the Bethesda system. All patients underwent thyroidectomy with central neck dissection. Three patients had reactive changes after FNA due to needle passage. Among these 3 patients, 2 had pathologically confirmed metastatic PTC in dissected lymph nodes. These 2 patients could be defined as true disappearing PTC in the thyroid after FNA. The remaining 3 patients had neither histologic alterations nor evidence of PTC in the thyroid and lymph nodes specimens.

conclusionsBoth disappearing PTC and a false-positive result of FNAC should be considered in patients with positive cytology findings and a negative histological diagnosis of PTC in the thyroid.

Indexed as

CytologyFine needle aspirationPapillary thyroid carcinomaPathologyThyroid

Identifiers

PMID24847454
PMCPMC4017759

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