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ORIGINAL ARTICLE
Year : 2020  |  Volume : 3  |  Issue : 2  |  Page : 121-125

Diagnostic accuracy of fine-needle aspiration cytology with histopathology of thyroid swellings in king Abdulaziz Medical City


1 College of Medicine, King Saud Bin Abdulaziz University for Health Sciences; Department of Surgery, King Abdulaziz Medical City, Riyadh, Saudi Arabia
2 College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Ministry of National Guard –Health Affairs, Riyadh, Saudi Arabia
3 College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Ministry of National Guard–Health Affairs, Riyadh, Saudi Arabia

Correspondence Address:
Sameer Al-Bahkaly
King Saud Bin Abdulaziz University for Health Sciences, Riyadh; Department of Surgery, King Abdulaziz Medical City, Riyadh
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JNSM.JNSM_46_19

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Introduction: Thyroid nodules are a common clinical problem. Currently, many diagnostic tests are used to diagnose thyroid swellings with fine-needle aspiration cytology (FNAC) being the gold standard test. However, FNAC has limitations, and a histopathology report is needed for the final diagnosis. The purpose of this study is to correlate the FNAC findings with the histopathology of the excised specimens. Materials and Methods: This is a retrospective review of 98 patients undergoing thyroidectomy in the Department of ENT, Head and Neck Surgery at King Abdulaziz Medical City in Riyadh, Saudi Arabia. Period of study was from May 2011 to June 2014. Results: The sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of FNAC for the diagnosis of solitary thyroid nodules were 55.56%, 88.73%, 65.22%, 84%, and 79.59%, respectively. Conclusion: FNA is a simple, safe, and cost-effective diagnostic modality for thyroid carcinoma. It is recommended as the first-line investigation for the diagnosis of solitary thyroid nodule.


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