Cómo mejorar la precisión de los diagnósticos I y III del Sistema Bethesda

  1. Rodríguez González, Marta 1
  2. González Velasco, Cristina
  3. Gómez Muñoz, María Asunción
  4. Sayagués Manzano, José María
  5. Ludeña de la Cruz, María Dolores
  1. 1 Doctora, Licenciada Especialista
Aldizkaria:
Revista ORL

ISSN: 2444-7986 2444-7986

Argitalpen urtea: 2021

Alea: 12

Alea: 4

Orrialdeak: 313-323

Mota: Artikulua

DOI: 10.14201/ORL.25005 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Beste argitalpen batzuk: Revista ORL

Garapen Iraunkorreko Helburuak

Laburpena

Fine-needle aspiration (FNA) has a primary role in the diagnosis of thyroid nodules. FNA allows us to differentiate benign lesions from malignant ones in most of the cases. However, management of Bethesda System diagnostic categories I (Nondiagnostic or Unsatisfactory) and III (Atypia of Undetermined Significance or Follicular Lesion of Undetermined Significance) are a clinical challenge. The aim of this work is to expose the options we have to improve the diagnosis of those categories using a multidisciplinary approach, an active follow-up, repeating FNA, applying immunohistochemical and/or molecular technics or even perform a core needle biopsy. Some or all of these choices are especially useful to identify category III, but active follow-up or additional FNA are preferred to detect category I.

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