Warning: fopen(/home/virtual/enm-kes/journal/upload/ip_log/ip_log_2023-06.txt): failed to open stream: Permission denied in /home/virtual/lib/view_data.php on line 88 Warning: fwrite() expects parameter 1 to be resource, boolean given in /home/virtual/lib/view_data.php on line 89
Department of Internal Medicine, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea.
Copyright © 2016 Korean Endocrine Society
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
CONFLICTS OF INTEREST: No potential conflict of interest relevant to this article was reported.
Adapted from Haugen et al., with permission from Mary Ann Liebert, Inc. [3].
FNA, fine needle aspiration; US, ultrasonography; ETE, extrathyroidal extension.
aThe estimate is derived from high volume centers, the overall risk of malignancy may be lower given the interobserver variability in sonography; bAspiration of the cyst may be considered for symptomatic or cosmetic drainage.
Adapted from Shin et al. [9]. LV and HV indicate low and high cancer volume data, respectively. Solid hypoechoic nodules include solid nodules with marked or mild hypoechogenicity.
K-TIRADS, Korean Thyroid Imaging Reporting and Data System; FNA, fine needle aspiration; US, ultrasonography; LV, low volume; HV, high volume; NA, not applicable for FNA.
aFNA is indicated regardless of size and US feature of nodule in presence of poor prognostic factors including suspected lymph node metastasis by US or clinical evaluation, suspected extrathyroidal tumor extension, patients with diagnosed distant metastasis from thyroid cancer; bMicrocalcification, nonparallel orientation (taller-than-wide), spiculated/microlobulated margin; cMalignancy risk calculated from nodules excluding spongiform or partially cystic nodules with comet tail artifacts; dK-TIRADS 2 (benign category) includes partially cystic nodules with spongiform appearance or comet tail artifacts which do not have any suspicious US feature.
Variable | Ito et al. (2014) [4] | Sugitani et al. (2010) [5] |
---|---|---|
No. of patients | 1,235 | 230 |
Mean follow-up duration, mo | 60 | 60 |
Progression, % | ||
Size enlargement >3 mm | ||
5 yr | 5 | 7 |
10 yr | 8 | |
LN metastasis | ||
5 yr | 1.7 | 1 |
10 yr | 3.8 | |
Recurrence after delayed Op | 1/191 | 0/16 |
Fine-Needle Aspiration of Subcentimeter Thyroid Nodules in the Real-World Management