JOURNAL READING

Value of fine-needle aspiration in evaluating

largeLaporan Kasus
thyroid nodules
Rezha Adhutya Lebang KRUSTOSA
IMPETIGO 2013730091
Pembimbing :
dr. Eman Sulaiman, Sp.THT-KL
BACK GROUND RESULT

METHOD DISCUTION

CONCLUSION
BACK GROUND

The American Thyroid Association (ATA) recommends using ultrasound-guided fine-

needle aspiration (FNA) in order to evaluate supracentimetric and suspect thyroid
nodules. The purpose of this study was to evaluate the effective use of FNA before
surgery for nodules over 3 cm in diameter.
 METHOD

LOBEKTOMI

ISMULOBEKTOMI
RETROSPECTIVE STUDY
RETROSPEVTIVE STUDY
TIROIDEKTOMI TOTAL

child adult

KRITERIA EKLUSI : • lack of KRITERIA INKLUSI :

measurement of • Tiroidektomi
•Lack of preoperative nodules stabbed • Min. 1 nodul > 3
6939 fine needle aspiration under ultrasound cm pra operasi
SAMPEL • There is no control USG-guided by
ultrasound guidance • Lack of cytological FNA
from FNA interpretation by
external
pathologists
RESULT
RESULT
Tabel 1. Fine-needle aspiration results classified according to the
Bethesda system.

kategori
I II III IV V VI
Bethesda

Tabel 1. Hasil aspirasi jarum halus diklasifikasikan menurut sistem Bethesda.

kategori AKU AKU
saya II IV V VI
Bethesda AKU
Distribusi
43.3 38,9 13.3 0.8 2 1.7
Distribusi
(%)(%) 43.3 38,9 13.3 0.8 2 1.7
RESULT
Tabel 2. Histology data classified according to the Bethesda system
klasifikasi Bethesda

hasil akhir
I II III IV V VI

Jinak nodul,% 94,79 94,82 75,89 85,71 41,18 14,28

Ganas nodul,% 5.21 5.18 24,11 14.29 58,82 85,72

DISCUSION
DISKUSI 1 USG-guided by FNA is usually used before total or
partial thyroidectomy

2
Surgery should be considered in the case of enlarged
nodules although some benign FNA results, nodules> 4 cm,
in the presence of tap symptoms, or when other clinical
problems arise.

3 ATA recommends conducting FNAs in risky

situations, high-risk nodules, suspicious USG
features, nodules larger than 2 cm

4
these results indicate the limitations of FNA ultrasound
in the management of nodule therapy> 3 cm
CONCLUSION

In this study, ultrasound-guided FNA was informative in 42.6% of the cases for
nodules >3 cm (n 5 843), with a sensitivity of 56%, a positive predictive value of
71%, and a 4.7% rate of false negatives. Because there is a nonnegligible risk of error,
notably allowing the evolution of a cancer in 1 of 20 cases, we conclude that FNA
data should not delay surgical intervention for potentially suspect nodules >3 cm in
diameter.
TERIMA
KASIH