Risk of Thyroid Cancer in 1,504 Patients Referred for Thyroid Surgery with Assumed Benign Histology.

Benign lesion Fine-needle aspiration Thyroid cancer Thyroid cytology Thyroid surgery

Journal

European thyroid journal
ISSN: 2235-0640
Titre abrégé: Eur Thyroid J
Pays: England
ID NLM: 101604579

Informations de publication

Date de publication:
Oct 2019
Historique:
received: 27 11 2018
revised: 16 04 2019
entrez: 27 11 2019
pubmed: 27 11 2019
medline: 27 11 2019
Statut: ppublish

Résumé

The aims of this study were to report the risk of thyroid malignancy in cases of either benign fine-needle aspiration (FNA) or without FNA performed, and to investigate possible predictive factors for thyroid malignancy in a population with recent moderately low iodine intake. All patients referred for thyroid surgery in a tertiary cancer centre between 2000 and 2016 were included ( The malignancy risk was 7.6% (58/764) in group 1 and 6.8% (50/740) in group 2. Patients with T2-4 tumours constituted 2.2% (33/1,504). In the combined groups, ultrasound verified that solitary solid tumour was predictive for malignancy (p = 0.01 by χ The risk of malignancy of 7.6% and 6.8% was high, considering that patients with malignant FNA, suspicious FNA, or clinical findings indicating malignancy were excluded, and 2.2% of these malignancies were stages T2-4. In cases with solitary solid tumour on ultrasound, the risk of malignancy should not be ignored, even with benign FNA.

Identifiants

pubmed: 31768335
doi: 10.1159/000500539
pii: etj-0008-0246
pmc: PMC6873058
doi:

Types de publication

Journal Article

Langues

eng

Pagination

246-255

Informations de copyright

Copyright © 2019 by S. Karger AG, Basel.

Déclaration de conflit d'intérêts

The authors have no conflicts of interest to declare.

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Auteurs

Signe Buhl Gram (SB)

Department of Otorhinolaryngology, Head and Neck Surgery and Audiology, Rigshospitalet, Copenhagen University, Copenhagen, Denmark.

Jacob Høygaard Rasmussen (JH)

Department of Otorhinolaryngology, Head and Neck Surgery and Audiology, Rigshospitalet, Copenhagen University, Copenhagen, Denmark.

Ulla Feldt-Rasmussen (U)

Department of Medical Endocrinology, Rigshospitalet, Copenhagen University, Copenhagen, Denmark.

Jens Bentzen (J)

Department of Oncology, Herlev Hospital, Copenhagen University, Copenhagen, Denmark.

Giedrius Lelkaitis (G)

Department of Pathology, Rigshospitalet, Copenhagen University, Copenhagen, Denmark.

Christian von Buchwald (C)

Department of Otorhinolaryngology, Head and Neck Surgery and Audiology, Rigshospitalet, Copenhagen University, Copenhagen, Denmark.

Christoffer Holst Hahn (CH)

Department of Otorhinolaryngology, Head and Neck Surgery and Audiology, Rigshospitalet, Copenhagen University, Copenhagen, Denmark.

Classifications MeSH