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How can we reduce the pain associated with FNA biopsy? Comparison of parallel and perpendicular method

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Abstract

Purpose

To assess the tolerability of two different biopsy methods for thyroid nodules in a patient with nodular thyroid disease (NTD).

Materials and methods

The study included 58 consecutive patients who had NTD from June 2014 to October 2015. Each patient had, at least, two thyroid nodules were located in two lobes. Parallel and perpendicular fine-needle aspirations (FNAs) were performed.

Results

The mean maximum diameters of the assessed thyroid nodules using ultrasound (US) in parallel and perpendicular techniques were 23 ± 7 and 22 ± 6 mm, respectively. Nodule sizes were not significantly different (p > 0.05). For the parallel and perpendicular techniques, the mean numeric rating scale (NRS), verbal rating scale (VRS), and visual analog scale (VAS) values were 3.6 ± 1.9, 2.6 ± 1.1, and 17.2 ± 13 with 6.6 ± 1.7, 3.4 ± 0.5, and 37.8 ± 18, respectively. All these values were statistically significant (p < 0.001); there were no statistical differences between females and males in terms of three pain scales (p < 0.001).

Conclusion

Patients experienced significantly less pain when undergoing FNA of NTD using the parallel technique as opposed to the perpendicular technique. Therefore, we believe that FNA using parallel technique is preferable for NTD patients.

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Authors and Affiliations

  1. Department of Radiology, School of Medicine, Ataturk University, Erzurum, Turkey

    Ihsan Yuce, Suat Eren, Akin Levent, Recep Sade & Mecit Kantarci

  2. Department of Medical Oncology, School of Medicine, Ataturk University, Erzurum, Turkey

    Mehmet Turkeli

Authors
  1. Ihsan Yuce
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  2. Mehmet Turkeli
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  3. Suat Eren
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  4. Akin Levent
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  5. Recep Sade
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  6. Mecit Kantarci
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Corresponding author

Correspondence to Ihsan Yuce.

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Conflict of interest

The authors declare that there is no conflict of interest.

Ethical statement

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Yuce, I., Turkeli, M., Eren, S. et al. How can we reduce the pain associated with FNA biopsy? Comparison of parallel and perpendicular method. Jpn J Radiol 34, 503–507 (2016). https://doi.org/10.1007/s11604-016-0548-0

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  • DOI: https://doi.org/10.1007/s11604-016-0548-0

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