Intraoperative frozen section can be reduced in thyroid nodules classified as Bethesda categories V and VI

Abstract Intraoperative frozen section (FS) can be reduced during thyroid lobectomy according to the results of fine needle aspiration (FNA). We evaluated the role of intraoperative FS in thyroid nodules with different diagnostic categories of the Bethesda System for Reporting Thyroid Cytopathology...

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Autores principales: Jing Huang, Jieli Luo, Jianshe Chen, Yang Sun, Chao Zhang, Kanlun Xu, Qin Ye, Pintong Huang
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Publicado: Nature Portfolio 2017
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Acceso en línea:https://doaj.org/article/4e3f2aa34c264b7b9f9634ce3973534d
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spelling oai:doaj.org-article:4e3f2aa34c264b7b9f9634ce3973534d2021-12-02T12:30:53ZIntraoperative frozen section can be reduced in thyroid nodules classified as Bethesda categories V and VI10.1038/s41598-017-05459-x2045-2322https://doaj.org/article/4e3f2aa34c264b7b9f9634ce3973534d2017-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-05459-xhttps://doaj.org/toc/2045-2322Abstract Intraoperative frozen section (FS) can be reduced during thyroid lobectomy according to the results of fine needle aspiration (FNA). We evaluated the role of intraoperative FS in thyroid nodules with different diagnostic categories of the Bethesda System for Reporting Thyroid Cytopathology by FNA. This retrospective study included 1,235 nodules collected via thyroidectomy with both preoperative FNA and intraoperative FS at the Second Affiliated Hospital of Zhejiang University School of Medicine, from January 2011 to January 2014. FNA cytological diagnosis was classified into six categories, based on the Bethesda system. The diagnostic findings of FNA cytology and FS histology were compared with the final histological results. 189 nodules were benign. The remainder were malignant. FS diagnosis was more accurate than FNA diagnosis for nodules classified as Bethesda Categories II, III, and IV (P < 0.05). However, the accuracy of FNA diagnosis in nodules assigned Bethesda Categories V and VI was significantly higher than that of FS (P < 0.05). FS appears be beneficial for thyroid nodules classified as Bethesda categories I through IV. FS may not be necessary in nodules diagnosed as Bethesda Categories V and VI.Jing HuangJieli LuoJianshe ChenYang SunChao ZhangKanlun XuQin YePintong HuangNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-6 (2017)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Jing Huang
Jieli Luo
Jianshe Chen
Yang Sun
Chao Zhang
Kanlun Xu
Qin Ye
Pintong Huang
Intraoperative frozen section can be reduced in thyroid nodules classified as Bethesda categories V and VI
description Abstract Intraoperative frozen section (FS) can be reduced during thyroid lobectomy according to the results of fine needle aspiration (FNA). We evaluated the role of intraoperative FS in thyroid nodules with different diagnostic categories of the Bethesda System for Reporting Thyroid Cytopathology by FNA. This retrospective study included 1,235 nodules collected via thyroidectomy with both preoperative FNA and intraoperative FS at the Second Affiliated Hospital of Zhejiang University School of Medicine, from January 2011 to January 2014. FNA cytological diagnosis was classified into six categories, based on the Bethesda system. The diagnostic findings of FNA cytology and FS histology were compared with the final histological results. 189 nodules were benign. The remainder were malignant. FS diagnosis was more accurate than FNA diagnosis for nodules classified as Bethesda Categories II, III, and IV (P < 0.05). However, the accuracy of FNA diagnosis in nodules assigned Bethesda Categories V and VI was significantly higher than that of FS (P < 0.05). FS appears be beneficial for thyroid nodules classified as Bethesda categories I through IV. FS may not be necessary in nodules diagnosed as Bethesda Categories V and VI.
format article
author Jing Huang
Jieli Luo
Jianshe Chen
Yang Sun
Chao Zhang
Kanlun Xu
Qin Ye
Pintong Huang
author_facet Jing Huang
Jieli Luo
Jianshe Chen
Yang Sun
Chao Zhang
Kanlun Xu
Qin Ye
Pintong Huang
author_sort Jing Huang
title Intraoperative frozen section can be reduced in thyroid nodules classified as Bethesda categories V and VI
title_short Intraoperative frozen section can be reduced in thyroid nodules classified as Bethesda categories V and VI
title_full Intraoperative frozen section can be reduced in thyroid nodules classified as Bethesda categories V and VI
title_fullStr Intraoperative frozen section can be reduced in thyroid nodules classified as Bethesda categories V and VI
title_full_unstemmed Intraoperative frozen section can be reduced in thyroid nodules classified as Bethesda categories V and VI
title_sort intraoperative frozen section can be reduced in thyroid nodules classified as bethesda categories v and vi
publisher Nature Portfolio
publishDate 2017
url https://doaj.org/article/4e3f2aa34c264b7b9f9634ce3973534d
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