Current Status of Thyroid Fine-Needle Aspiration Practice in Thailand

Thyroid carcinoma is one of the leading malignancies in Thailand increasingly prevalent in the female population. Fine-needle aspiration (FNA) cytology is a widely used diagnostic tool for evaluation of thyroid nodules and thyroid cancer. Thyroid FNA is a routine procedure universally performed in T...

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Autores principales: Keelawat, Somboon, Rangdaeng, Samreung, Koonmee, Supinda, Jitpasutham, Tikamporn, Bychkov, Andrey
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Pathologists and the Korean Society for Cytopathology 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5700881/
https://www.ncbi.nlm.nih.gov/pubmed/29161789
http://dx.doi.org/10.4132/jptm.2017.08.12
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author Keelawat, Somboon
Rangdaeng, Samreung
Koonmee, Supinda
Jitpasutham, Tikamporn
Bychkov, Andrey
author_facet Keelawat, Somboon
Rangdaeng, Samreung
Koonmee, Supinda
Jitpasutham, Tikamporn
Bychkov, Andrey
author_sort Keelawat, Somboon
collection PubMed
description Thyroid carcinoma is one of the leading malignancies in Thailand increasingly prevalent in the female population. Fine-needle aspiration (FNA) cytology is a widely used diagnostic tool for evaluation of thyroid nodules and thyroid cancer. Thyroid FNA is a routine procedure universally performed in Thai hospitals by a variety of clinical specialists. Manual guidance is the first-line choice complemented by ultrasound assistance in selected cases. Despite national guidelines recommendations, the diagnostic criteria and terminology of the Bethesda System for Reporting Thyroid Cytopathology (TBSRTC) was slowly adopted in the local settings. Currently, the Bethesda system is actively promoted by the local professional societies as a uniform reporting system. Experience with thyroid FNA has been rarely reported to date—only a handful of publications are available in local journals. Our review, in addition to presenting various aspects of thyroid FNA in Thailand, established for the first time national references for a certain statistical outputs of TBSRTC based on the original multi-institutional cohort. The risk of malignancy in 2,017 operated thyroid nodules collected from three tertiary thyroid cancer centers was 21.7%, 14.7%, 35.9%, 44.4%, 76.7%, and 92.6% for categories I to VI, respectively. The malignancy risk in several diagnostic categories (II to IV) was higher than the risk estimated by TBSRTC and recent meta-analysis studies. We endorse the use of uniform terminology of the Bethesda system in Thailand, which will help facilitate communication among diverse medical professionals involved in the management of patients with thyroid nodules, to share local experience with the international audience.
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spelling pubmed-57008812017-11-29 Current Status of Thyroid Fine-Needle Aspiration Practice in Thailand Keelawat, Somboon Rangdaeng, Samreung Koonmee, Supinda Jitpasutham, Tikamporn Bychkov, Andrey J Pathol Transl Med Review Thyroid carcinoma is one of the leading malignancies in Thailand increasingly prevalent in the female population. Fine-needle aspiration (FNA) cytology is a widely used diagnostic tool for evaluation of thyroid nodules and thyroid cancer. Thyroid FNA is a routine procedure universally performed in Thai hospitals by a variety of clinical specialists. Manual guidance is the first-line choice complemented by ultrasound assistance in selected cases. Despite national guidelines recommendations, the diagnostic criteria and terminology of the Bethesda System for Reporting Thyroid Cytopathology (TBSRTC) was slowly adopted in the local settings. Currently, the Bethesda system is actively promoted by the local professional societies as a uniform reporting system. Experience with thyroid FNA has been rarely reported to date—only a handful of publications are available in local journals. Our review, in addition to presenting various aspects of thyroid FNA in Thailand, established for the first time national references for a certain statistical outputs of TBSRTC based on the original multi-institutional cohort. The risk of malignancy in 2,017 operated thyroid nodules collected from three tertiary thyroid cancer centers was 21.7%, 14.7%, 35.9%, 44.4%, 76.7%, and 92.6% for categories I to VI, respectively. The malignancy risk in several diagnostic categories (II to IV) was higher than the risk estimated by TBSRTC and recent meta-analysis studies. We endorse the use of uniform terminology of the Bethesda system in Thailand, which will help facilitate communication among diverse medical professionals involved in the management of patients with thyroid nodules, to share local experience with the international audience. The Korean Society of Pathologists and the Korean Society for Cytopathology 2017-11 2017-11-15 /pmc/articles/PMC5700881/ /pubmed/29161789 http://dx.doi.org/10.4132/jptm.2017.08.12 Text en © 2017 The Korean Society of Pathologists/The Korean Society for Cytopathology This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review
Keelawat, Somboon
Rangdaeng, Samreung
Koonmee, Supinda
Jitpasutham, Tikamporn
Bychkov, Andrey
Current Status of Thyroid Fine-Needle Aspiration Practice in Thailand
title Current Status of Thyroid Fine-Needle Aspiration Practice in Thailand
title_full Current Status of Thyroid Fine-Needle Aspiration Practice in Thailand
title_fullStr Current Status of Thyroid Fine-Needle Aspiration Practice in Thailand
title_full_unstemmed Current Status of Thyroid Fine-Needle Aspiration Practice in Thailand
title_short Current Status of Thyroid Fine-Needle Aspiration Practice in Thailand
title_sort current status of thyroid fine-needle aspiration practice in thailand
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5700881/
https://www.ncbi.nlm.nih.gov/pubmed/29161789
http://dx.doi.org/10.4132/jptm.2017.08.12
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