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Thyroid fine-needle aspiration cytology in Taiwan: a nationwide survey and literature update
Chien-Chin Chen, Jen-Fan Hang, Chih-Yi Liu, Yeh-Han Wang, Chiung-Ru Lai
J Pathol Transl Med. 2020;54(5):361-366.   Published online August 31, 2020
DOI: https://doi.org/10.4132/jptm.2020.07.17
  • 2,670 View
  • 120 Download
  • 3 Citations
AbstractAbstract PDF
In Taiwan, thyroid fine-needle aspiration cytology is easily accessible and reliable for evaluating thyroid nodules. The sonographic pattern plays a major role and is the deciding factor for aspiration. We conducted a nationwide survey in 2017 and it revealed that 31% of laboratories had adopted The Bethesda System for Reporting Thyroid Cytopathology. There was a relatively high unsatisfactory rate (24.04%) and low rates of indeterminate diagnoses, including atypia of undetermined significance/follicular lesions of undetermined significance: 4.87%, and follicular neoplasm/suspicious for a follicular neoplasm: 0.35%. Moreover, the risks of malignancy in benign, atypia of undetermined significance, and suspicious for a follicular neoplasm were relatively high. These may reflect strict diagnostic criteria for indeterminate categories and better patient selection for surgery. Improvements in specimen sampling and continuing education programs are crucial. Newly-developed thyroid cytology technologies, such as immunocytochemistry, molecular testing, and computerized cytomorphometry, may further facilitate cytology diagnoses.

Citations

Citations to this article as recorded by  
  • Comparison of fine-needle aspiration with fine-needle capillary cytology in thyroid nodules
    H Hatami, M Samsami, S Movahedinia, B Salehi, M Movahedinia, M Ardeshir
    The Annals of The Royal College of Surgeons of England.2022;[Epub]     CrossRef
  • Noninvasive follicular thyroid neoplasm with papillary-like nuclear features: its updated diagnostic criteria, preoperative cytologic diagnoses and impact on the risk of malignancy
    Hee Young Na, So Yeon Park
    Journal of Pathology and Translational Medicine.2022; 56(6): 319.     CrossRef
  • Thyroid malignancy rates according to the Bethesda reporting system in Israel - A multicenter study
    Ory Madgar, Galit Avior, Isaac Shochat, Ben-Zion Joshua, Lior Baraf, Yuval Avidor, Avi khafif, Niddal Assadi, Eran E. Alon
    European Journal of Surgical Oncology.2021; 47(6): 1370.     CrossRef
Thyroid Fine-Needle Aspiration in Taiwan: The History and Current Practice
Jen-Fan Hang, Chih-Yi Hsu, Chiung-Ru Lai
J Pathol Transl Med. 2017;51(6):560-564.   Published online October 18, 2017
DOI: https://doi.org/10.4132/jptm.2017.09.20
  • 6,685 View
  • 99 Download
  • 8 Citations
AbstractAbstract PDF
In Taiwan, thyroid cancer is the most common endocrine gland malignancy and the incidence of thyroid cancer has increased four-fold in the past two decades. Fine-needle aspiration is an accurate and cost-effective method of evaluating thyroid nodules and has been the gold-standard diagnostic tool for thyroid tumors in Taiwan since the 1980s. This article reviews the history, current practice, reporting systems, training, and quality assurance for thyroid fine-needle aspiration cytology in Taiwan.

Citations

Citations to this article as recorded by  
  • Machine Learning–Assisted Diagnostic System for Indeterminate Thyroid Nodules
    Lei Chen, Minda Chen, Qian Li, Viksit Kumar, Yu Duan, Kevin A. Wu, Theodore T. Pierce, Anthony E. Samir
    Ultrasound in Medicine & Biology.2022; 48(8): 1547.     CrossRef
  • Radiomics Nomogram for Identifying Sub-1 cm Benign and Malignant Thyroid Lesions
    Xinxin Wu, Jingjing Li, Yakui Mou, Yao Yao, Jingjing Cui, Ning Mao, Xicheng Song
    Frontiers in Oncology.2021;[Epub]     CrossRef
  • Biokinetic model of radioiodine I-131 in nine thyroid cancer patients subjected to in-vivo gamma camera scanning: A simplified five-compartmental model
    Chao-Chun Huang, Ya-Hui Lin, Samrit Kittipayak, Yi-Shi Hwua, Shan-Ying Wang, Lung-Kwang Pan, Juan Pardo-Montero
    PLOS ONE.2020; 15(5): e0232480.     CrossRef
  • Cancer Incidence Characteristic Evolution Based on the National Cancer Registry in Taiwan
    Yu-Ching Huang, Yu-Hung Chen
    Journal of Oncology.2020; 2020: 1.     CrossRef
  • Thyroid fine-needle aspiration cytology in Taiwan: a nationwide survey and literature update
    Chien-Chin Chen, Jen-Fan Hang, Chih-Yi Liu, Yeh-Han Wang, Chiung-Ru Lai
    Journal of Pathology and Translational Medicine.2020; 54(5): 361.     CrossRef
  • Machine Learning–Assisted System for Thyroid Nodule Diagnosis
    Bin Zhang, Jie Tian, Shufang Pei, Yubing Chen, Xin He, Yuhao Dong, Lu Zhang, Xiaokai Mo, Wenhui Huang, Shuzhen Cong, Shuixing Zhang
    Thyroid.2019; 29(6): 858.     CrossRef
  • Thyroid FNA cytology in Asian practice-Active surveillance for indeterminate thyroid nodules reduces overtreatment of thyroid carcinomas
    K. Kakudo, M. Higuchi, M. Hirokawa, S. Satoh, C. K. Jung, A. Bychkov
    Cytopathology.2017; 28(6): 455.     CrossRef
  • The Use of Fine-Needle Aspiration (FNA) Cytology in Patients with Thyroid Nodules in Asia: A Brief Overview of Studies from the Working Group of Asian Thyroid FNA Cytology
    Chan Kwon Jung, SoonWon Hong, Andrey Bychkov, Kennichi Kakudo
    Journal of Pathology and Translational Medicine.2017; 51(6): 571.     CrossRef

JPTM : Journal of Pathology and Translational Medicine