Comparison the sample satisfaction rate of 21 and 23 gauge needles used for the ultrasound-guided fine needle aspiration biopsy of thyroid nodules

doi:10.3877/cma.j.issn.1672-6448.2015.10.005

Abstract

Abstract:

Objective

To compare the sample satisfaction rate of 21 and 23 gauge needles used in the ultrasound-guided fine needle aspiration biopsy (US-FNAB) of thyroid nodules.

Methods

A total of 123 cases of thyroid puncture patients from January 2015 to February 2015 in our department were included in this study, each nodule was aspirated by both 21G and 23G needles guided by ultrasound, all specimens were produced by liquid-based cytology, the order of 21G and 23G needle was in terms of random table, samples were divided into two groups, satisfied or unsatisfied, then the satisfaction rate between 21G and 23G was compare.

Results

The satisfaction rate of 21G needle aspiration of thyroid nodules was 87.8%, while The satisfaction rate of 23G needle aspiration of thyroid nodules was 86.2%. There was no statistically significant difference between 21G and 23G needles in terms of the sample satisfaction rate (χ²=0.045, P > 0.05).

Conclusion

The results of our study showed that FNA with 23G needles can aspirate adequate material for cytopathological diagnosis. 23G gauge needles may be used as a more secure method for US-FNAB of thyroid nodules in clinical work.

Key words: Thyroid nodules, Fine needle aspiration cytology biopsy, Ultrasound-guided

Lingyan Feng, Linxue Qian, Yujiang Liu, Junfeng Zhao, Dong Liu. Comparison the sample satisfaction rate of 21 and 23 gauge needles used for the ultrasound-guided fine needle aspiration biopsy of thyroid nodules[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2015, 12(10): 763-767.

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URL: https://chaosheng.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1672-6448.2015.10.005

https://chaosheng.cma-cmc.com.cn/EN/Y2015/V12/I10/763

Figures/Tables 4

References 15

[1]	Cooper DS, Doherty GM, Haugen BR, et a1. Revised American Thyroid Association management guidelines for patients with thyroid nodules and differentiated thyroid cancer [J]. Thyroid, 2009, 19(11): 1167-1214.
[2]	Tangpricha V, Chen BJ, Swan NC, et al. Twenty-one-gauge needles provide more cellular samples than twenty-five-gaugeneedles in fine-needle aspiration biopsy of the thyroid but may not provide increased diagnostic accuracy [J]. Thyroid, 2001, 11(10): 973-976.
[3]	Suen KC. Fine-needle aspiration biopsy of the thyroid [J]. CMAJ, 2002, 167: 491-495.
[4]	Nikiforov YE,Ohori NP,Hodak SP,et al.Impact of mutational testing on the diagnosis and management of patients with cytologically indeterminate thyroid nodules: a prospective analysis of 1056 FNA samples [J]. J Clin Endocrinol Metab, 2011, 96(11): 3390-3397.
[5]	DegirmenciB, HaktanirA, AlbayrakR, etal. Sonographically guided fine-needle biopsy of thyroid nodules: the effects of nodule characteristics, sampling technique and needle size on the adequacy of cytological material [J]. Clin Radiol, 2007,62(8): 798-803.
[6]	GumusM, CayN, AlginO, et al. Comparison of 21 and 27 gauge needles for determining sample adequacy in the aspiration biopsy of thyroid nodules [J]. Diagn Interv Radiol, 2012, 18(1): 102-105.
[7]	PitmanMB, AbeleJ, AliSZ, etal. Techniques for thyroid FNA: a synopsis of the National Cancer Institute thyroid fine-needle aspiration state of the science conference [J]. Diagn Cytopathol, 2008, 36(6): 407-424.
[8]	Crothers BA, Henry MR, Firat P, et al. The Bethesda system for reporting thyroid cytopathology.Definitions, criteria and explanatory notes [M]. Philadelphia: Springer, 2010; 5-14.
[9]	Cochand-Priollet B, Prat JJ, Polivka M, et al. Thyroid fine needle aspiration: the morphological features on ThinPrep slide preparations.Eighty cases with histological control [J]. Cytopathology, 2003, 14(6): 343-349．
[10]	Ross DS. Editorial: predicting thyroid malignancy [J]. J Clin Endocrinol Metab, 2006, 91(11): 4253-4255.
[11]	Coorough N, Hudak K, Buehler D, et al. Fine Needle Aspiration of the Thyroid: A Contemporary Experience of 3981 Cases [J]. Journal of Surgical Research, 2011, 170(1): 48- 51.
[12]	Kim DW, Lee EJ, Kim SH, et al. Ultrasound-guided fine-needle aspiration biopsy of thyroid nodules: comparison in efficacy according to nodule size [J].T hyroid,2 009, 19(1): 27-31.
[13]	Moon WJ, Baek JH, Jung SL, et al. Ultrasonography and the ultrasound-based management of thyroid nodules: consensus statement and recommendations [J]. Korean J Radiol, 2011, 12(1): 1-14．
[14]	Nam-Goong IS, Kim HY, Gong G, et al. Ultrasonography-guided fine-needle aspiration of thyroid incidentaloma: correlation with pathological findings [J]. Clin Endocrinol, 2004, 60(1): 21-28．
[15]	Yassa L,Cibas ES, Benson CB, et al. Long-term assessment of a multidisciplinary approach to thyroid nodule diagnostic evaluation [J]. Cancer, 2007, 111(6): 508-516.

针型号	满意	不满意
21G	108（87.8）	15（12.2）
23G	106（86.2）	17（13.8）
χ²值	0.045
P值	0.832

针型号	满意	不满意
21G	108（87.8）	15（12.2）
23G	106（86.2）	17（13.8）
χ²值	0.045
P值	0.832

针型号	结节大小（cm）
针型号	＜ 0.5	0.5~1.0	≥ 1.0
21G	86.7（13/15）	88.1（59/67）	87.8（36/41）
23G	86.7（13/15）	86.6（58/67）	85.4（35/41）
χ²值	0.004
P值	0.998

针型号	结节大小（cm）
针型号	＜ 0.5	0.5~1.0	≥ 1.0
21G	86.7（13/15）	88.1（59/67）	87.8（36/41）
23G	86.7（13/15）	86.6（58/67）	85.4（35/41）
χ²值	0.004
P值	0.998

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