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Techniques of Ultrasound-Guided FNA Biopsy

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Thyroid Ultrasound and Ultrasound-Guided FNA Biopsy

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Abstract

The use of ultrasound guided fine needle aspiration (UG FNA) biopsy has increased because its accuracy in diagnosing thyroid nodules far exceeds that of conventional blind biopsy. We use a drill-spin technique for UG FNA (1,2,3,4), and have applied this technique to more than 14,000 patients with a wide variety of thyroid nodules. Because of the accuracy of diagnosing thyroid nodules using this technique, the number of unnecessary operations has decreased and the number of microcancers has increased in our hospital. In this chapter, we describe our drill-spin technique of performing UG FNA biopsy and a practical approach to different types of thyroid nodules.

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References

  1. Kuma, K., Matsuzuka, F., Yokozawa, T., Miyauchi, A., Sugawara, M. (1994) Fate of untreated benign thyroid nodules: results of long-term follow-up. World J. Surg. 18:495–499.

    Article  PubMed  CAS  Google Scholar 

  2. Yokozawa, T., Miyauchi, A., Kuma, K., Sugawara, M., (1995) Accurate and simple method of diagnosing thyroid nodules by the modified technique of ultrasound-guided aspiration biopsy. Thyroid 5:141–145.

    Article  PubMed  CAS  Google Scholar 

  3. Yokozawa, T., Fukata, S., Kuma, K., Matsuzuka, F., Kobayashi, A., Hirai, K., Miyauchi, A., Sugawara, M. (1996) Thyroid cancer detected by ultrasound-guided fine needle aspiration biopsy. World J. Surg. 20:848–853.

    Article  PubMed  CAS  Google Scholar 

  4. Yokozawa, T., Kuma, K. (1998) Use of fine needle aspiration and ultrasound-guided aspiration biopsy. Thyroidol. Clin. Exp. 10:103–108.

    Google Scholar 

  5. Miller, J.M. (1996) Techniques of fine-needle aspiration biopsy. In: Kini, S.R. ed., Thyroid. 2nd ed. New York: Lgakushoin, 5–12.

    Google Scholar 

  6. Boland, G.W., Lee, M.J., Mueller, P.R., Mayo-Smith, W., Dawson, S.L., Simeone, J.F. (1993) Efficacy of sonographically guided biopsy of thyroid masses and cervical lymph nodes. Am. J. Roent. 161:1053–1056.

    Article  CAS  Google Scholar 

  7. Rosen, I.B., Azadian, A., Walfish, P.G., Salem, S., Lansdown, E., Bedard, Y.C. (1993) Ultrasound-guided fine needle aspiration biopsy in the management of thyroid disease. Am. J. Surg. 166:346–349.

    Article  PubMed  CAS  Google Scholar 

  8. Cochand-Priollet, B., Guillausseau, P.J., Chagnon, S., Hoang, C., Guillausseau-Scholer, C., Chanson, P., Dahan, H., Warnet, A., Tran Ba Huy, P.T., Valleur, P. (1994) The diagnostic value of fine-needle aspiration biopsy under ultrasonography in nonfunctional thyroid nodules: a prospective study comparing cytologic and histologic findings. Am. J. Med. 97:152–157.

    Article  PubMed  CAS  Google Scholar 

  9. Quinn, S.F., Nelson, H.A., Demlow, T.A. (1994) Thyroid biopsies: fine needle aspiration biopsy versus spring-activated core biopsy needle in 102 patients. J. Vasc. Interv. Radiol. 5:619–623.

    Article  PubMed  CAS  Google Scholar 

  10. Sanchez, R.B., vanSonnenberg, E., D’Agostino, H.B., Shank, T., Oglevie, S., Laoide, R., Fundell, L., Robbins, T. (1994) Ultrasound guided biopsy of nonpalpable and difficult to palpate thyroid masses. J. Am. Coll. Surg. 178:33–37.

    PubMed  CAS  Google Scholar 

  11. Ito, M., Yamashita, S., Ashizawa, K., Namba, H., Hoshi, M., Shibata, Y., Sekine, I., Nagataki, S., Shigematsu, I. (1995) Childhood thyroid diseases around Chernobyl evaluated by ultrasound examination and fine needle aspiration cytology. Thyroid 5:365–368.

    Article  PubMed  CAS  Google Scholar 

  12. Hanbidge, A.E., Arenson, A.M., Shaw, P.A., Szalai, J.P., Hamilton, P.A., Leonhardt, C. (1995) Needle size and sample adequacy in ultrasound-guided biopsy of thyroid nodules. Can. Assoc. Radiol. J. 46:199–201.

    PubMed  CAS  Google Scholar 

  13. Lu, C.P., Chang, T.C., Wang, C.Y., Hsiao, Y.L. (1997) Serial changes in ultrasoundguided fine needle aspiration cytology in subacute thyroiditis. Acta Cytol. 41:238–243.

    Article  PubMed  CAS  Google Scholar 

  14. Sabel, M.S., Haque, D., Velasco, J.M., Staren, E.D. (1998) Use of ultrasound-guided fine needle aspiration biopsy in the management of thyroid disease. Am. J. Surg. 64:738–741

    CAS  Google Scholar 

  15. Rodriguez, J.M., Reus, M., Moreno, A., Martinez, M., Soria, T., Carrasco, L., Parrilla, P. (1997) High-resolution ultrasound associated with aspiration biopsy in the follow-up of patients with differentiated thyroid cancer. Otolaryngol. Head Neck Surg. 117:694–697.

    Article  PubMed  CAS  Google Scholar 

  16. Danese, D., Sciacchitano, S., Farsetti, A., Andreoli, M., Pontecorvi, A. (1998) Diagnostic Accuracy of conventional versus sonography-guided fine-needle aspiration biopsy of thyroid nodules. Thyroid 8:15–21.

    Article  PubMed  CAS  Google Scholar 

  17. Hatada, T., Okada, K., Ishii, H., Utsunomiya, J. (1998) Evaluation of ultrasound-guided fine needle aspiration biopsy for thyroid disease. Am.J. Surg. 175:133–136.

    Article  PubMed  CAS  Google Scholar 

  18. Carmeci, C., Jeffrey, R.B., McDougall, I.R., Nowells, K.W., Weigel, R.J. (1998) Ultrasound-guided fine-needle aspiration biopsy of thyroid masses. Thyroid 8:283–289.

    Article  PubMed  CAS  Google Scholar 

  19. Khurana, K.K., Richards, V.I., Chopra, P.S., lzquierdo, R., Rubens, D., Mesonero, C. (1998) The role of ultrasonography-guided fine needle aspiration biopsy in the management of nonpalpable and palpable thyroid nodules. Thyroid 8:511–515.

    Article  PubMed  CAS  Google Scholar 

  20. Leenhardt, L., Hejblum, G., Franc, B., Fediaevsky, L.P., Delbot, T., Guillouzic, D., Ménégaux, F., Guillausseau, C., Hoang, C., Turpin, G., Aurengo, A. (1999) Indications and Limits of ultrasound-guided cytology in the management of nonpalpable thyroid nodules. J. Clin. Endocrinol. Metab. 84:24–28.

    Article  PubMed  CAS  Google Scholar 

  21. Santos, J.E.C., Leiman, and G. (1988) Nonaspiration fine needle cytology: application of a new technique to nodular thyroid disease. Acta Cytol. 32:353–356.

    PubMed  CAS  Google Scholar 

  22. Crile, C. (1966) Treatment of thyroid cysts by aspiration. Surgery 59:210–212.

    PubMed  Google Scholar 

  23. Miller, J., Zafar, S., Karo, J. (1974) The cystic thyroid nodule. Radiology 110:257–261.

    PubMed  CAS  Google Scholar 

  24. Rojeski, M.T., Gharib, H. (1985) Nodular thyroid disease. Evaluation and management. N. Engl. J. Med. 313:426–436.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Kuma Hospital, Kobe, 650-0011, Japan

    Tamotsu Yokozawa M.D. & Kanji Kuma M.D.

  2. VA Medical Center & UCLA School of Medicine, West Los Angeles, CA, 90073, USA

    Masahiro Sugawara M.D.

Authors
  1. Tamotsu Yokozawa M.D.
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  2. Kanji Kuma M.D.
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  3. Masahiro Sugawara M.D.
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Editor information

Editors and Affiliations

  1. Florida Thyroid and Endocrine Clinic, Orlando, Florida, USA

    H. Jack Baskin M.D.

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© 2000 Springer Science+Business Media Dordrecht

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Yokozawa, T., Kuma, K., Sugawara, M. (2000). Techniques of Ultrasound-Guided FNA Biopsy. In: Baskin, H.J. (eds) Thyroid Ultrasound and Ultrasound-Guided FNA Biopsy. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-3202-3_9

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  • DOI: https://doi.org/10.1007/978-1-4757-3202-3_9

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4757-3204-7

  • Online ISBN: 978-1-4757-3202-3

  • eBook Packages: Springer Book Archive

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