Does routine consultation of thyroid fine-needle aspiration cytology change surgical management?
Tan YY; Kebebew E; Reiff E; Caron NR; Ogilvie JB; Duh QY; Clark OH; Ljung BM; Miller T Department of Surgery, University of California, San Francisco, San Francisco, CA 94143-1674, USA. BACKGROUND: Routine secondary cytologic review of thyroid gland fine-needle aspiration (FNA) specimens in patients referred from other institutions has been the recommended practice at some medical centers. We sought to determine the concordance rates between FNA interpretations at referring institutions and our center to determine if they alter surgical management. STUDY DESIGN: All thyroid gland FNAs referred to our center for cytopathologic opinion from June 2000 to August 2004 were reviewed. Patients in whom FNA biopsies were performed for thyroid cancer recurrences or core biopsies and patients in whom only a cytopathologic opinion was requested without a clinical consultation were excluded from the study. FNA results were divided into benign, indeterminate, suspicious, malignant, and nondiagnostic
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