Liječnički vjesnik, Vol. 134 No. 7-8, 2012.
Stručni rad
CROATIAN SOCIETY FOR CLINICAL CYTOLOGY GUIDELINES FOR THYROID CYTOLOGY
Neven Mateša
Anka Knežević-Obad
Karmen Trutin Ostović
Ika Kardum-Skelin
Sandra Moslavac
Ankica Vasilj
Sandra Kojić-Katović
Biljana Pauzar
Irena Seili-Bekafigo
Sažetak
The main purpose of thyroid FNA (fine needle aspiration) is to separate malignant and possibly malignant nodules from benign thyroid lesions. Every patient with thyroid nodule is a candidate for FNA. Before a decision to perform an FNA, a complete history, a physical examination directed to the thyroid and cervical lymph nodes, a serum thyrotropin level, and thyroid ultrasound should be obtained. Thyroid lesion with a maximum diameter greater than 1.5 cm or nodule of any size with sonographically suspicious features is an indication for FNA. Ultrasound-guided FNA of the thyroid is recommended. The requisition form that accompanies FNA should contain the identifying data, location and size of the nodule, and relevant laboratory and clinical data. FNA diagnosis of thyroid disease is a clinicocytologic diagnosis, and correlation with clinical findings is mandatory for success. Thyroid FNA classification scheme consists of a four diagnostic categories according to the risk of malignancy: benign lesions, indeterminate lesions according to malignancy, malignant tumors, and non-diagnostic. Ancillary studies (immunocytochemistry, RT-PCR, flow cytometry) are usually helpful in borderline cases
Ključne riječi
Thyroid nodule – diagnosis, pathology; Thyroid neoplasms – diagnosis, pathology; Thyroid diseases – diagnosis, pathology; Cytodiagnosis – methods; Biopsy, fine-needle – methods; Practice guidelines as topic; Croatia
Hrčak ID:
172433
URI
Datum izdavanja:
27.8.2012.
Posjeta: 2.561 *