Abstract
Fine-needle aspiration (FNA) is a critical component of thyroid nodule evaluation. This minimally invasive test was initially performed with palpation guidance; however, today the vast majority of these procedures are performed with ultrasound guidance. This chapter will review ultrasound-guided thyroid nodule FNA including the recommended preprocedural planning and procedure setup. Different techniques for obtaining samples will also be described. Although uncommon, the potential complications will be discussed.
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References
Yassa L, Cibas ES, Benson CB, Frates MC, Doubilet PM, Gawande AA, et al. Long-term assessment of a multidisciplinary approach to thyroid nodule diagnostic evaluation. Cancer. 2007;111(6):508–16.
Kim MJ, Kim EK, Park SI, Kim BM, Kwak JY, Kim SJ, et al. US-guided fine-needle aspiration of thyroid nodules: indications, techniques, results. Radiographics. 2008;28(7):1869–86. discussion 87
McNaughton C, Zhou C, Robert L, Storrow A, Kennedy R. A randomized, crossover comparison of injected buffered lidocaine, lidocaine cream, and no analgesia for peripheral intravenous cannula insertion. Ann Emerg Med. 2009;54(2):214–20.
Orlinsky M, Hudson C, Chan L, Deslauriers R. Pain comparison of unbuffered versus buffered lidocaine in local wound infiltration. J Emerg Med. 1992;10(4):411–5.
Ganter-Ritz V, Speroni KG, Atherton M. A randomized double-blind study comparing intradermal anesthetic tolerability, efficacy, and cost-effectiveness of lidocaine, buffered lidocaine, and bacteriostatic normal saline for peripheral intravenous insertion. J Infus Nurs. 2012;35(2):93–9.
Xia Y, Chen E, Tibbits DL, Reilley TE, McSweeney TD. Comparison of effects of lidocaine hydrochloride, buffered lidocaine, diphenhydramine, and normal saline after intradermal injection. J Clin Anesth. 2002;14(5):339–43.
Krause RS, Moscati R, Filice M, Lerner EB, Hughes D. The effect of injection speed on the pain of lidocaine infiltration. Acad Emerg Med. 1997;4(11):1032–5.
Romitelli F, Di Stasio E, Santoro C, Iozzino M, Orsini A, Cesareo R. A comparative study of fine needle aspiration and fine needle non-aspiration biopsy on suspected thyroid nodules. Endocr Pathol. 2009;20(2):108–13.
Polyzos SA, Anastasilakis AD. Systematic review of cases reporting blood extravasation-related complications after thyroid fine-needle biopsy. J Otolaryngol Head Neck Surg. 2010;39(5):532–41.
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Henrichsen, T.L. (2018). Fine-Needle Aspiration for Thyroid Nodules. In: Gharib, H. (eds) Thyroid Nodules. Contemporary Endocrinology. Humana Press, Cham. https://doi.org/10.1007/978-3-319-59474-3_6
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DOI: https://doi.org/10.1007/978-3-319-59474-3_6
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