Tiroid İnce İğne Aspirasyon Biyopsi Sonuçlarının Değerlendirilmesi: Tek Merkez Deneyimi

Amaç: Kliniğimizde yapılan tiroid ince iğne aspirasyon biyopsi (İİAB) sonuçlarımızı inceleyip etkinliğini araştırmak amaçlandı. Yöntem: Bu çalışmada Aralık 2021 -Temmuz 2022 tarihleri arasında Tarsus Devlet Hastanesi Endokrinoloji Kliniğinde tiroid İİAB yapılan 101 hastanın sonuçları retrospektif olarak incelendi. Bulgular: Tiroid nodüllerinin ultrasonografik özelikleri EU-TIRADS’a göre sınıflandırıldığında 51(50.5%)’i EU-TIRADS-3, 31 (30.7%)’i EU-TIRADS-4, 19(18.8%)’u EU-TIRADS-5 kategorisindeydi. Sitoloji sonuçlarını Bethesda sınıflamasına göre kategorize ettiğimizde ise 23 (22.8%)’ü Bethesda I, 48 (47.5%)’i Bethesda II, 16(15.8%)’sı Bethesda III, 4(4%)’ü Bethesda IV, 10(9.9%)’si Bethesda VI olarak tespit edildi. Bethesda II en yüksek frekans ile EU-TIRADS-3 kategoride saptanırken Bethesda VI ise en yüksek frekans ile EU-TIRADS-5 kategoride yer aldı. Ortalama nodul çapı 20.48± 9.73 mm olarak bulundu. Sonuç: Nodüllerin ultrasonografik bulguları sitoloji sonuçları ile korelasyon göstermiştir. EU-TIRADS sınıflandırması, Bethesda sistemi ile iyi bir uyum içindedir. İki sınıflamanın koordineli kullanılması, klinisyene gereksiz invaziv prosedür riskinden kaçınmak için yardımcı olmaktadır.

Anahtar Kelimeler:

Biyopsi, Tiroid nodülü, Ultrasonografi

Evaluation of Thyroid Fine Needle Aspiration Biopsy Results: A Single Center Experience

Aim: It was aimed to examine the results of thyroid fine needle aspiration (FNA) biopsy performed in our clinic and to investigate its effectiveness. Methods: In this study, the results of 101 patients who underwent thyroid FNAB in Tarsus State Hospital endocrinology clinic between December 2021 and July 2022 were retrospectively analyzed. Results: Ultrasonographic features of thyroid nodules were classified according to EU-TIRADS, 51(50.5%) were in EU-TIRADS-3, 31 (30.7%) were in EU-TIRADS-4, 19(18.8%) were in EU-TIRADS-5. When we categorize cytology results according to Bethesda classification, 23 (22.8%) Bethesda I, 48 (47.5%) Bethesda II, 16 (15.8%) Bethesda III, 4(4%) Bethesda IV,10(9.9%) detected as Bethesda VI. Bethesda II was found in the EU-TIRADS-3 category with the highest frequency, while Bethesda VI was found in the EU-TIRADS-5 category with the highest frequency. The mean nodule diameter was found to be 20.48± 9.73mm. Conclusion: Ultrasonographic findings of the nodules correlated with cytology results. The EU-TIRADS categorization has a good concordance with the Bethesda system. The coordinated use of the two classifications helps the clinician to avoid the risk of unnecessary invasive procedures.

Keywords:

Byopsy, Thyroid Nodule, Ultrasonography,

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