TITLE

A Systematic Review of Cases Reporting Needle Tract Seeding Following Thyroid Fine Needle Biopsy

AUTHOR(S)
Polyzos, Stergios A.; Anastasilakis, Athanasios D.
PUB. DATE
April 2010
SOURCE
World Journal of Surgery;Apr2010, Vol. 34 Issue 4, p844
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Because of its accuracy and cost-effectiveness, thyroid fine needle biopsy (FNB) is the procedure of choice in the preoperative management of thyroid nodules. Needle tract seeding (NTS) has been a concern since the earliest days of FNB, contributing to the delayed acceptance of FNB as a safe procedure. In this review we tried to systematically record all reports of NTS after diagnostic thyroid FNB and provide useful hints to minimize the risk of NTS. Computerized advanced search for primary evidence was performed in the PubMed (Public/Publisher Medline) electronic database. The search was not limited by publication time or English language. Ten relevant articles were found: eight case reports, one case in a surgical series, and one retrospective observational study. Despite initial concerns about the risk of NTS, FNB is now considered to be a safe procedure. Although proper FNB technique can reduce its risk, NTS is an unavoidable complication of FNB, which clinicians should be aware of. However, the incidence of NTS is low and it doesn’t seem to affect the prognosis because the seedings can be surgically removed without recurrence. The management of the thyroid nodules is to-date based on FNB, and the benefits from FNB (elimination of needless imaging and surgery) far outweigh the potential risk for NTS.
ACCESSION #
48409581

 

Related Articles

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics