Frozen section in thyroid gland follicular neoplasms: It's high time to abandon it!

Carcinoma, Papillary / diagnosis Diagnosis, Differential Diagnostic Errors / prevention & control Frozen Sections / standards Humans Practice Guidelines as Topic / standards Thyroid Neoplasms / diagnosis Thyroid Nodule / diagnosis
Carcinoma Follicular neoplasm Frozen section Thyroid nodule Thyroidectomy

Journal

Surgical oncology
ISSN: 1879-3320
Titre abrégé: Surg Oncol
Pays: Netherlands
ID NLM: 9208188

Informations de publication

Date de publication:
Mar 2021
Historique:
received: 24 06 2020
revised: 23 11 2020
accepted: 06 12 2020
pubmed: 15 12 2020
medline: 21 10 2021
entrez: 14 12 2020
Statut: ppublish

Résumé

Thyroid nodules are a very common clinical condition. The 2015 American Thyroid Association (ATA) guidelines recommend surgical excision for Bethesda IV nodules. The use of intraoperative frozen section (FS) has been recommended as a strategy to tailor the extent of the initial surgery. We critically evaluated the literature that discusses the utility and cost-effectiveness of FS to make an intraoperative decision in patients with thyroid nodules classified as follicular neoplasm. FS should not be recommended as a routine intraoperative test to assess for malignancy in thyroid follicular patterned lesions due to its low performance; the high number of deferred results; the inability to adequately assess histologically defining features; the improvements in risk stratification guiding total thyroidectomy; and the low cost-effectiveness of FS.

Identifiants

DOI: 10.1016/j.suronc.2020.12.005 PMID: 33316682
pubmed: 33316682
pii: S0960-7404(20)30462-X
doi: 10.1016/j.suronc.2020.12.005
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

76-81

Informations de copyright

Copyright © 2020 Elsevier Ltd. All rights reserved.

Auteurs

Alvaro Sanabria (A)

Department of Surgery, School of Medicine, Universidad de Antioquia, CEXCA. Centro de Excelencia en Enfermedades de Cabeza y Cuello. Medellín, Colombia. Electronic address: alvaro.sanabria@udea.edu.co.

Mark Zafereo (M)

Head and Neck Surgery, MD Anderson Cancer Center, Houston, TX, USA.

Lester D R Thompson (LDR)

Department of Pathology. Southern California Permanente Medical Group, Woodland Hills Medical Center, Woodland Hills, CA, USA.

Juan C Hernandez-Prera (JC)

Department of Pathology. Moffit Cancer Center. Tampa, FL, USA.

Luiz P Kowalski (LP)

Department of Head and Neck Surgery and Otorhinolaryngology, A.C. Camargo Cancer Center, Department of Head and Neck Surgery University of Sao Paulo Medical School, Sao Paulo, Brazil.

Iain J Nixon (IJ)

Ear, Nose and Throat Department, NHS Lothian, University of Edinburgh, Edinburgh, UK.

Ashok Shaha (A)

Head and Neck Service, Memorial Sloan-Kettering Cancer Center, NY, USA.

Juan P Rodrigo (JP)

Department of Otolaryngology, Hospital Universitario Central de Asturias-University of Oviedo, Oviedo, Spain; Instituto de Investigación Sanitaria del Principado de Asturias, IUOPA, CIBERONC, Oviedo, Spain.

Antti Mäkitie (A)

Department of Otorhinolaryngology, Head and Neck Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Vincent Vander Poorten (VV)

Department of Oncology, Section Head and Neck Oncology, KU Leuven, and Otorhinolaryngology, Head and Neck Surgery, University Hospitals Leuven. Leuven, Belgium.

Carlos Suarez (C)

Instituto de Investigación Sanitaria del Principado de Asturias, IUOPA, CIBERONC, Oviedo, Spain.

Peter Zbären (P)

Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital, Bern, Switzerland.

Alessandra Rinaldo (A)

University of Udine School of Medicine, Udine, Italy.

Alfio Ferlito (A)

Coordinator of the International Head and Neck Scientific Group, Padua, Italy.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female

Evaluation of Low-Value Services Across Major Medicare Advantage Insurers and Traditional Medicare.

Ciara Duggan, Adam L Beckman, Ishani Ganguli et al.
1.00
Humans United States Aged Cross-Sectional Studies Medicare Part C

Effectiveness of Virtual Yoga for Chronic Low Back Pain: A Randomized Clinical Trial.

Hallie Tankha, Devyn Gaskins, Amanda Shallcross et al.
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH

questionsmedicales.fr › Tumeurs › Tumeurs par type histologique › Tumeurs épithéliales épidermoïdes et glandulaires › Tumeurs épidermoïdes › Carcinome papillaire › Frozen section in thyroid gland follicular...
questionsmedicales.fr › Diagnostic › Diagnostic différentiel › Frozen section in thyroid gland follicular...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Erreurs médicales › Erreurs de diagnostic › Frozen section in thyroid gland follicular...
questionsmedicales.fr › Techniques d'investigation › Techniques de laboratoire clinique › Techniques histologiques › Techniques de préparation histocytologique › Microtomie › Cryo-ultramicrotomie › Coupes minces congelées › Frozen section in thyroid gland follicular...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Frozen section in thyroid gland follicular...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Assurance de la qualité des soins de santé › Recommandations comme sujet › Guides de bonnes pratiques cliniques comme sujet › Frozen section in thyroid gland follicular...
questionsmedicales.fr › Maladies endocriniennes › Maladies de la thyroïde › Tumeurs de la thyroïde › Frozen section in thyroid gland follicular...
questionsmedicales.fr › Maladies endocriniennes › Maladies de la thyroïde › Tumeurs de la thyroïde › Nodule thyroïdien › Frozen section in thyroid gland follicular...