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Endocrine

, Volume 57, Issue 1, pp 108–114 | Cite as

Ultrasound-guided fine needle aspiration versus core needle biopsy: comparison of post-biopsy hematoma rates and risk factors

  • In Hye Chae
  • Eun-Kyung Kim
  • Hee Jung Moon
  • Jung Hyun Yoon
  • Vivian Y. Park
  • Jin Young KwakEmail author
Original Article
  • 217 Downloads

Abstract

Purpose

To compare post-biopsy hematoma rates between ultrasound guided-fine needle aspiration and ultrasound guided-core needle biopsy, and to investigate risk factors for post-biopsy hematoma.

Methods

A total of 5304 thyroid nodules which underwent ultrasound guided biopsy were included in this retrospective study. We compared clinical and US features between patients with and without post-biopsy hematoma. Associations between these features and post-biopsy hematoma were analyzed.

Results

Post-biopsy hematoma rate was 0.8% (43/5121) for ultrasound guided-fine needle aspiration and 4.9% (9/183) for ultrasound guided-core needle biopsy (P < 0.001). For ultrasound guided-fine needle aspiration, gender, age, size, presence of vascularity, and suspicious US features were not associated with post-biopsy hematoma according to experience level. Post-biopsy hematoma occurred significantly more with ultrasound guided-core needle biopsy (9/179, 5.0%) than with ultrasound guided-fine needle aspiration (9/1138, 0.8%) (P < 0.001) in experienced performers and ultrasound guided-core needle biopsy was the only significant risk factor for post-biopsy hematoma (adjusted Odds Ratio, 6.458, P < 0.001).

Conclusion

Post-biopsy hematoma occurred significantly more in ultrasound guided-core needle biopsy than in ultrasound guided-fine needle aspiration and ultrasound guided-core needle biopsy was the only independent factor of post-biopsy hematoma in thyroid nodules.

Keywords

Thyroid Ultrasonography Fine needle aspiration biopsy Core needle biopsy Hematoma 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no competing interests.

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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • In Hye Chae
    • 1
    • 2
  • Eun-Kyung Kim
    • 1
  • Hee Jung Moon
    • 1
  • Jung Hyun Yoon
    • 1
  • Vivian Y. Park
    • 1
  • Jin Young Kwak
    • 1
    Email author
  1. 1.Department of Radiology, Research Institute of Radiological Science, Severance HospitalYonsei University College of MedicineSeoulRepublic of Korea
  2. 2.Department of RadiologyNational Cancer CenterGoyangRepublic of Korea

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