GURKAN GUNERİ, ISMAİL OSKAY KAYA, ENGİN OLCUCUOGLU, ENGİN OLCUCUOGLU, RİZA DUNDAR
Eurasian Journal of Medical Investigation - 2025;9(2):53-57
Objectives: We aimed to reveal the effects of these two diagnostic methods on the decision of thyroidectomy by evaluating the preoperative ultrasonography (USG) and FNA results together and evaluating the treatment options and results. Methods: In this study, patient files pathology results and operative notes of 342 patients who had thyroid surgery in the General Surgery Clinic of Diskapi Yıldırım Beyazıt Training and Research Hospital between January 2010 and December 2013 were retrospectively analyzed.Preoperative USG, diameter and character of the dominant nodule, FNAB results, surgery types and postoperative pathology results were recorded. Results: 131 of 342 patients (38%) presented as undetermined cytology; In the literature, 20-30% of undetermined cytology has a malignancy risk, while in our study it was found to be 43%. In our study, atypia of undetermined significance and follicular lesion malignancy rate were found to be 55.5% in the result of FNAB cytology (5-10% in the literature). Conclusion: When deciding on the type of surgery, it would be more appropriate to consider the malignancy criteria in USG along with the result of FNAB. FNAB results with USG performed in our center were found to be similar to the literature, except for two values. Different results will be more qualified with the increase of USG and FNAB experience.
