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Comparative analysis of diagnostic adequacy rate between aspiration and nonaspiration techniques of fine‐needle cytology in patients with thyroid cancer and ultrasonographically suspicious cervical lymph nodes
Author(s) -
Aydin Cevdet,
Dellal Fatma Dilek,
Tam Abbas Ali,
Ogmen Berna,
Kilicarslan Aydan,
Topaloglu Oya,
Ersoy Reyhan,
Cakir Bekir
Publication year - 2017
Publication title -
diagnostic cytopathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.417
H-Index - 65
eISSN - 1097-0339
pISSN - 8755-1039
DOI - 10.1002/dc.23793
Subject(s) - medicine , thyroid cancer , cervical lymph nodes , cytology , lymph , thyroid , radiology , fine needle aspiration , cancer , pathology , biopsy , metastasis
Background We aimed to compare nonaspiration (NAS) and aspiration (AS) techniques in the evaluation of fine‐needle cytology of lymph node (FNC‐LN) in terms of diagnostic adequacy of cytologic material. Methods One hundred and twenty‐three superficial cervical LNs in 75 patients who underwent NAS and AS‐FNC‐LN in the same visit were evaluated. Cytological results were categorized as diagnostic and nondiagnostic. Results The rates of malignancy were 13.8% in AS versus 16.3% in NAS technique, whereas nondiagnostic cytology was detected in 43.1% and 25.2%, respectively ( P  = .549 and P  < .01). Conclusions The diagnostic adequacy rate in NAS‐FNC‐LN was significantly higher than AS‐FNC‐LN. However, NAS technique seems to be more simple and comfortable. We suggest both NAS and AS‐FNC‐LN in cytologic evaluation of suspicious cervical LNs until the diagnostic accuracy is determined with prospective studies.

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