Surgeon performed ultrasound-guided fine-needle aspirates of the thyroid: 1067 biopsies and learning curve in a teaching center

Head & Neck
Vinay T FernandesJeremy L Freeman

Abstract

Surgeon performed ultrasound-guided fine-needle aspirates (UG-FNAs) reduce delay in diagnosis and allow for surgeon surveillance. We present the first report on a learning curve and impact of head and neck surgical trainees on adequacy rates. Thyroid UG-FNA biopsies from 2009 to 2013 were reviewed retrospectively. Specimen adequacy, cytologic diagnosis, and surgical pathology were used to calculate adequacy and accuracy. One thousand sixty-seven biopsies were examined in 723 individuals. The adequacy rate from adoption into practice improved from 71% to 78% to 85% over 300 cases. When UG-FNA was subsequently taught to trainees, adequacy rates varied among trainees (p < .037), and there were higher nondiagnostic rates earlier in training (p = .04). Adequacy was not related to size or palpability, but cystic lesions yielded more inadequate specimens (p < .001). Surgeon performed UG-FNA biopsy can be performed adequately in an outpatient setting. Adequacy rates reach acceptable levels after 300 cases, whereas trainee involvement impacts adequacy rates. © 2015 Wiley Periodicals, Inc. Head Neck 38: E1281-E1284, 2016.

References

Sep 12, 2006·Cytopathology : Official Journal of the British Society for Clinical Cytology·X J CaiT Helliwell
Jul 1, 2008·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Amol M BhatkiDavid L Steward
Sep 8, 2009·Thyroid : Official Journal of the American Thyroid Association·Nikoletta SidiropoulosVijayalakshmi Padmanabhan
Sep 23, 2009·AJR. American Journal of Roentgenology·Nina D BaierMukesh G Harisinghani
Oct 29, 2009·Thyroid : Official Journal of the American Thyroid Association·UNKNOWN American Thyroid Association (ATA) Guidelines Taskforce on Thyroid Nodules and Differentiated Thyroid CancerR Michael Tuttle
Apr 21, 2010·The Journal of Laryngology and Otology·S CarrC J Woodhead
Sep 9, 2010·The Laryngoscope·Aaron C MoberlyMimi S Kokoska
Apr 25, 2012·World Journal of Surgery·Dhafir Al-azawiJulie A Miller
Aug 8, 2012·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Cyrille NaïmDonald Eddé
Nov 28, 2013·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Gregory T Mahony, Barry S Mahony

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Citations

Jan 31, 2020·JAMA Otolaryngology-- Head & Neck Surgery·Jeremy L Freeman
Jun 2, 2017·AJR. American Journal of Roentgenology·Vincent A LeungParaskevi A Vlachou

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