Original Article

IJMDC. 2020; 4(1): 179-184

Accuracy of fine needle aspiration cytology of thyroid compared to final histopathology in total thyroidectomy

Authors: Hayfa Alolayan, Yahya Alyahya, Abdullah Altuaysi, Fatimah Alshammari, Bandar Alsakran.

ABSTRACT

Background: Fine Needle Aspiration (FNA) is one of the methods of early detection used in the diagnosis of benign and malignant thyroid nodules. This study aimed to determine the accuracy of FNA in evaluating thyroid nodules to assess the ability of FNA in detecting malignancies of the thyroid gland and to evaluate the role of FNA in the reduction of unnecessary surgeries for the patients with a thyroid nodule. Methodology: Using an observational analytic retrospective cohort study, a sample of 154 study participants diagnosed with at least one of the thyroid nodules was considered. All the subjects had undergone thyroidectomy between the period of January 1, 2016 and January 1, 2018. Results: Part of the main results indicated that the accuracy of FNA was 88.6% in diagnosing the Follicular Carcinoma and 90.8% in diagnosing Follicular Adenoma. FNA's overall sensitivity was found to be 91.2%, while the specificity was found at 71.65%. Previous studies placed FNA sensitivity between 89% and 90%. Conclusion: The data from the current study have shown different results from the previous studies on the specificity of FNA in the diagnosis of thyroid nodules, as they had shown that it was less accurate. Our study found FNA cytology as an accurate method. Still, it has some limitations, or it needs proper sittings (i.e., welltrained interventional radiologist, on-spot histopathologist). We recommend increasing the training among the team players in the endocrine surgery unit.

Keywords:
Thyroid nodule, FNA, thyroidectomy


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Accuracy of fine needle aspiration cytology of thyroid compared to final histopathology in total thyroidectomy


Authors
Hayfa Alolayan
Assistant Professor, General Surgery, Qassim University, Buraydah, Saudi Arabia
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Yahya Alyahya
Medical Intern, Qassim University, Buraydah, Saudi Arabia
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Abdullah Altuaysi
Medical Intern, Qassim University, Buraydah, Saudi Arabia
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Fatimah Alshammari
Medical Intern, Qassim University, Buraydah, Saudi Arabia
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Bandar Alsakran
Consultant, General and Bariatric Surgery, Consultant Laparoscopic Surgery, Head of General Surgery Department at King Fahad Specialist Hospital, Buraydah, Saudi Arabia
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Correspondence to:
. Hayfa Alolayan, Assistant professor, General Surgery, Qassim University, Saudi Arabia.; h.alolayan@qu.edu.sa

Publication history
Received 17 Nov 2019
Accepted 04 Dec 2019
Published online 25 Dec 2019
Published in print 13 Jan 2020

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Pubmed Style

Alolayan H, Alyahya Y, Altuaysi A, Alshammari F, Alsakran B. Accuracy of fine needle aspiration cytology of thyroid compared to final histopathology in total thyroidectomy. IJMDC. 2020; 4(1): 179-184. doi:10.24911/IJMDC.51-1573983252


Web Style

Alolayan H, Alyahya Y, Altuaysi A, Alshammari F, Alsakran B. Accuracy of fine needle aspiration cytology of thyroid compared to final histopathology in total thyroidectomy. http://www.ijmdc.com/?mno=74011 [Access: August 06, 2020]. doi:10.24911/IJMDC.51-1573983252


AMA (American Medical Association) Style

Alolayan H, Alyahya Y, Altuaysi A, Alshammari F, Alsakran B. Accuracy of fine needle aspiration cytology of thyroid compared to final histopathology in total thyroidectomy. IJMDC. 2020; 4(1): 179-184. doi:10.24911/IJMDC.51-1573983252


Vancouver/ICMJE Style

Alolayan H, Alyahya Y, Altuaysi A, Alshammari F, Alsakran B. Accuracy of fine needle aspiration cytology of thyroid compared to final histopathology in total thyroidectomy. IJMDC. (2020), [cited August 06, 2020]; 4(1): 179-184. doi:10.24911/IJMDC.51-1573983252


Harvard Style

Alolayan, H., Alyahya, . Y., Altuaysi, . A., Alshammari, . F. & Alsakran, . B. (2020) Accuracy of fine needle aspiration cytology of thyroid compared to final histopathology in total thyroidectomy. IJMDC, 4 (1), 179-184. doi:10.24911/IJMDC.51-1573983252


Turabian Style

Alolayan, Hayfa, Yahya Alyahya, Abdullah Altuaysi, Fatimah Alshammari, and Bandar Alsakran. 2020. Accuracy of fine needle aspiration cytology of thyroid compared to final histopathology in total thyroidectomy. International Journal of Medicine in Developing Countries, 4 (1), 179-184. doi:10.24911/IJMDC.51-1573983252


Chicago Style

Alolayan, Hayfa, Yahya Alyahya, Abdullah Altuaysi, Fatimah Alshammari, and Bandar Alsakran. "Accuracy of fine needle aspiration cytology of thyroid compared to final histopathology in total thyroidectomy." International Journal of Medicine in Developing Countries 4 (2020), 179-184. doi:10.24911/IJMDC.51-1573983252


MLA (The Modern Language Association) Style

Alolayan, Hayfa, Yahya Alyahya, Abdullah Altuaysi, Fatimah Alshammari, and Bandar Alsakran. "Accuracy of fine needle aspiration cytology of thyroid compared to final histopathology in total thyroidectomy." International Journal of Medicine in Developing Countries 4.1 (2020), 179-184. Print. doi:10.24911/IJMDC.51-1573983252


APA (American Psychological Association) Style

Alolayan, H., Alyahya, . Y., Altuaysi, . A., Alshammari, . F. & Alsakran, . B. (2020) Accuracy of fine needle aspiration cytology of thyroid compared to final histopathology in total thyroidectomy. International Journal of Medicine in Developing Countries, 4 (1), 179-184. doi:10.24911/IJMDC.51-1573983252


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