Role of fine needle aspiration cytology and frozen section in the diagnosis of thyroid swelling: A retrospective study.

Autor: Reddy, Vinila Belum, Kumar, M. Naveen, Vanajakshi, S., Hariharan, I., Haricharan, B. V., Manimekhala, Neeti, Reddy, Anvi K., Kawatra, Sakshi
Předmět:
Zdroj: Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research); 2023, Vol. 14 Issue 10, p1671-1677, 7p
Abstrakt: Introduction: Fine Needle Aspiration Cytology (FNAC) has for long been a useful, cheap and safe procedure in preoperative evaluation of thyroid lesions. Frozen sections on the other hand can confirm the FNAC diagnosis and it also serves as an intraoperative guide to decide the extent of the thyroid surgeries. The choice of the diagnostic method used is vital because of its implications on the medical and surgical management and the quality of the outcome. Aim: The purpose of this study will be to compare the result obtained by FNAC and frozen section of the thyroid to the final histopathological diagnosis, in order to establish their role in evaluation of thyroid lesions and their role in surgery. Materials and Methods: This four year retrospective study was conducted between Jan 2019 to July 2023. All patients undergoing both FNAC and frozen sections for thyroid lesions. were included in the study. Descriptive statistics was applied to draw conclusions. Sensitivity, specificity, and diagnostic accuracy were calculated for both FNAC and frozen sections. Results: A total of 30 patients met the inclusion criteria with 26 females (86.67%) and 4 males (13.33%). The average age was 42.2 ± 14.4 years. The overall malignancy rate among the nodules included in the study was 20% (n=6). The sensitivity and Accuracy in our study was similar to available literature with FNAC having a sensitivity of 71.43% and accuracy of 93.3%, whereas the Frozen section showed a sensitivity of 85.7% and accuracy of 96.67%. Conclusion: In the present study, frozen sections had better sensitivity and accuracy compared to FNAC in thyroid lesions. Better sample size will give us a better insight regarding the advantage and added benefit of the Frozen section over FNAC. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index