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Thyroid nodule with benign cytology: is clinical follow-up enough?

Objective In this multicenter study, we investigated the management algorithm for thyroid nodules with benign cytology using US features from data collected from 7 institutions. Materials and Methods The institutional review board approved this retrospective study. Data on 700 focal thyroid nodules... Full description

Journal Title: PLoS ONE 01 January 2013, Vol.8(5), p.e63834
Main Author: Yoon Jung Choi
Other Authors: Inkyung Jung , Sung Ji Min , Hye Jung Kim , Ji-Hoon Kim , Soojin Kim , Jeong Seon Park , Jung Hee Shin , Yu-Mee Sohn , Jung Hyun Yoon , Jin Young Kwak
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: E-ISSN: 1932-6203 ; DOI: 10.1371/journal.pone.0063834
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title: Thyroid nodule with benign cytology: is clinical follow-up enough?
format: Article
creator:
  • Yoon Jung Choi
  • Inkyung Jung
  • Sung Ji Min
  • Hye Jung Kim
  • Ji-Hoon Kim
  • Soojin Kim
  • Jeong Seon Park
  • Jung Hee Shin
  • Yu-Mee Sohn
  • Jung Hyun Yoon
  • Jin Young Kwak
subjects:
  • Sciences (General)
ispartof: PLoS ONE, 01 January 2013, Vol.8(5), p.e63834
description: Objective In this multicenter study, we investigated the management algorithm for thyroid nodules with benign cytology using US features from data collected from 7 institutions. Materials and Methods The institutional review board approved this retrospective study. Data on 700 focal thyroid nodules in 673 consecutive patients were collected from 7 university-affiliated hospitals. This study included nodules that were diagnosed as benign at initial cytologic evaluation and that underwent pathologic or follow-up study. The risk of malignancy was compared according to the US assessments of each institution as well as looking at all the nodules together as a whole. Results Of the 700 nodules, 688 (98.3%) were benign and 12 (1.7%) were malignant. If initial cytologic results were benign, the likelihood of the nodule actually being malignant was from 1 to 3%, varying by institution. The likelihood of a cytologically benign nodule with positive US being malignant (4.7%, 8/169) was higher than that of one without positive US (0.8%, 4/531) ( P  = .002). Conclusion Based on our multicenter study, repeat FNA should be performed in thyroid nodules with initial benign cytology showing suspicious US features in order to decrease the number of false negative cases.
language: eng
source:
identifier: E-ISSN: 1932-6203 ; DOI: 10.1371/journal.pone.0063834
fulltext: fulltext_linktorsrc
issn:
  • 1932-6203
  • 19326203
url: Link


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titleThyroid nodule with benign cytology: is clinical follow-up enough?
creatorYoon Jung Choi ; Inkyung Jung ; Sung Ji Min ; Hye Jung Kim ; Ji-Hoon Kim ; Soojin Kim ; Jeong Seon Park ; Jung Hee Shin ; Yu-Mee Sohn ; Jung Hyun Yoon ; Jin Young Kwak
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descriptionObjective In this multicenter study, we investigated the management algorithm for thyroid nodules with benign cytology using US features from data collected from 7 institutions. Materials and Methods The institutional review board approved this retrospective study. Data on 700 focal thyroid nodules in 673 consecutive patients were collected from 7 university-affiliated hospitals. This study included nodules that were diagnosed as benign at initial cytologic evaluation and that underwent pathologic or follow-up study. The risk of malignancy was compared according to the US assessments of each institution as well as looking at all the nodules together as a whole. Results Of the 700 nodules, 688 (98.3%) were benign and 12 (1.7%) were malignant. If initial cytologic results were benign, the likelihood of the nodule actually being malignant was from 1 to 3%, varying by institution. The likelihood of a cytologically benign nodule with positive US being malignant (4.7%, 8/169) was higher than that of one without positive US (0.8%, 4/531) ( P  = .002). Conclusion Based on our multicenter study, repeat FNA should be performed in thyroid nodules with initial benign cytology showing suspicious US features in order to decrease the number of false negative cases.
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titleThyroid nodule with benign cytology: is clinical follow-up enough?
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OBJECTIVE: In this multicenter study, we investigated the management algorithm for thyroid nodules with benign cytology using US features from data collected from 7 institutions. MATERIALS AND METHODS: The institutional review board approved this retrospective study. Data on 700 focal thyroid nodules in 673 consecutive patients were collected from 7 university-affiliated hospitals. This study included nodules that were diagnosed as benign at initial cytologic evaluation and that underwent pathologic or follow-up study. The risk of malignancy was compared according to the US assessments of each institution as well as looking at all the nodules together as a whole. RESULTS: Of the 700 nodules, 688 (98.3%) were benign and 12 (1.7%) were malignant. If initial cytologic results were benign, the likelihood of the nodule actually being malignant was from 1 to 3%, varying by institution. The likelihood of a cytologically benign nodule with positive US being malignant (4.7%, 8/169) was...

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OBJECTIVE: In this multicenter study, we investigated the management algorithm for thyroid nodules with benign cytology using US features from data collected from 7 institutions. MATERIALS AND METHODS: The institutional review board approved this retrospective study. Data on 700 focal thyroid nodules in 673 consecutive patients were collected from 7 university-affiliated hospitals. This study included nodules that were diagnosed as benign at initial cytologic evaluation and that underwent pathologic or follow-up study. The risk of malignancy was compared according to the US assessments of each institution as well as looking at all the nodules together as a whole. RESULTS: Of the 700 nodules, 688 (98.3%) were benign and 12 (1.7%) were malignant. If initial cytologic results were benign, the likelihood of the nodule actually being malignant was from 1 to 3%, varying by institution. The likelihood of a cytologically benign nodule with positive US being malignant (4.7%, 8/169) was...

pubPublic Library of Science (PLoS)
doi10.1371/journal.pone.0063834
urlhttps://doaj.org/article/56ca3ea981ce434481790d800bf66133
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date2013-01-01