Accuracy of Fine Needle Aspiration Cytology of Solitary Thyroid Nodules in Tertiary versus Community HospitalReportar como inadecuado




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Background: Fine needle aspiration cytology FNAC is considered as thegold standard diagnostic test for the diagnosis of solitarythyroidnodules STN. Aim: Tocompare the accuracy of FNAC in diagnosis of thyroid nodules in Al Khorcommunity hospital versus that of tertiary hospital Hamad General Hospitalin Qatar. Methods: Retrospective, descriptive and comparativestudy of 320 patients of any age group and both sexes who have thyroidnodules and are subjected to surgical treatment 160 patients from Al Khor communityhospital group A and 160 patients from Hamad General Hospital group Bduring the period from May 2005 to Dec 2012. Each group was subdivided into free handFNAC done by physicians and ultrasonography guided FNAC. All samples wereprepared in the same histopathology laboratory and interpreted by the samehistopathology team. Results: Free hand FNAC in group A and group Bachieved a sensitivity of 10% vs. 50%, specificity of 93% in both groups,positive predictive value of 25% vs. 17%, negative predictive value of 82%vs. 98%, and a total accuracy of 82% vs. 94% respectively, while USguided FNAC in group A and group B achieved a sensitivity of 10% vs. 86%,specificity of 98% vs. 94%, positive predictive value of 50% vs. 60%,negative predictive value of 86% vs. 98%, and a total accuracy of 85% vs.97% respectively. Conclusion: The overall accuracy of FNAC of STN intertiary hospital was better than community hospital. More training is requiredfor community hospital staff.

KEYWORDS

Needle Aspiration; Solitary Thyroid Nodules; Accuracy

Cite this paper

H. Hennawy, H. Zaid, I. Mujeeb, E. Kahlout and E. Bedair -Accuracy of Fine Needle Aspiration Cytology of Solitary Thyroid Nodules in Tertiary versus Community Hospital,- Surgical Science, Vol. 4 No. 11, 2013, pp. 494-499. doi: 10.4236-ss.2013.411096.





Autor: H. M. El Hennawy, H. O. Abu Zaid, Imaad Bin Mujeeb, Eihab A. El Kahlout, El S. M. Bedair

Fuente: http://www.scirp.org/



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