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10.1159/000484600 http://scihub22266oqcxt.onion/10.1159/000484600 C5836223!5836223!29594053     free     free     free Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\29594053.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       Eur+Thyroid+J 2018 ; 7 (1): 39-43 Nephropedia Template TP {{tp|p=29594053|t=2018. Indeterminate Thyroid Nodules: A Pragmatic Approach |pdf=|usr=}}{{29594053}} gab.com Text Indeterminate Thyroid Nodules: A Pragmatic Approach JO: Eur Thyroid J http://www.kidney.de/pget.php?&tw=1&pmid=29594053 #FOAvip Background: Fine needle aspiration (FNA) cytology fails to provide a conclusive diagnosis in a subset of thyroid lesions labeled as ?indeterminate? (Thy3). In this study, we aimed at ascertaining the prevalence of Thy3 thyroid nodules in a hitherto unreported ethnic group (residents of the United Arab Emirates). Methods: We retrospectively examined 688 FNA of the thyroid performed on 584 patients. Samples were reported using the Royal College of Physicians' (RCP) Thy classification. The results of the FNA were correlated with the final surgical specimens. Ultrasonography (US) risk stratification was calculated using a web-based US risk of malignancy calculator. Results: Overall sample adequacy was 97%. The indeterminate group Thy3 was found in 7% of the samples. The overall risk of malignancy in the Thy3 category was 20%. This risk was very similar in the 2 subgroups of Thy3 (17% in Thy 3a and 22% in Thy3f). Subdividing the Thy3 group into subgroups becomes less necessary if the US scoring is <24.5% since the negative predictive value, in this case, is 100%. Applying this criterion to our population would have had the potential of reducing the percentage of patients referred to surgery from 61 to 43%. Conclusions: Proper risk stratification of Thy3 lesions should be based on the combined risk assessment of clinical, cytological, radiological, and molecular data. Such a pragmatic approach is expected to reduce the percentage of inappropriate referrals to surgery. Twit Text FOAVip Indeterminate Thyroid Nodules: A Pragmatic Approach ????Eur Thyroid J http://www.kidney.de/pget.php?&tw=1&pmid=29594053 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=29594053 #FOAvip English Wikipedia <ref>{{Cite pmid|29594053}}</ref> Indeterminate Thyroid Nodules: A Pragmatic Approach #MMPMID29594053 Khalil AB; Dina R; Meeran K; Bakir AM; Naqvi S; Al Tikritti A; Lessan N; Barakat MT Eur Thyroid J 2018[Jan]; 7 (1): 39-43 PMID29594053show ga Background: Fine needle aspiration (FNA) cytology fails to provide a conclusive diagnosis in a subset of thyroid lesions labeled as ?indeterminate? (Thy3). In this study, we aimed at ascertaining the prevalence of Thy3 thyroid nodules in a hitherto unreported ethnic group (residents of the United Arab Emirates). Methods: We retrospectively examined 688 FNA of the thyroid performed on 584 patients. Samples were reported using the Royal College of Physicians' (RCP) Thy classification. The results of the FNA were correlated with the final surgical specimens. Ultrasonography (US) risk stratification was calculated using a web-based US risk of malignancy calculator. Results: Overall sample adequacy was 97%. The indeterminate group Thy3 was found in 7% of the samples. The overall risk of malignancy in the Thy3 category was 20%. This risk was very similar in the 2 subgroups of Thy3 (17% in Thy 3a and 22% in Thy3f). Subdividing the Thy3 group into subgroups becomes less necessary if the US scoring is <24.5% since the negative predictive value, in this case, is 100%. Applying this criterion to our population would have had the potential of reducing the percentage of patients referred to surgery from 61 to 43%. Conclusions: Proper risk stratification of Thy3 lesions should be based on the combined risk assessment of clinical, cytological, radiological, and molecular data. Such a pragmatic approach is expected to reduce the percentage of inappropriate referrals to surgery. äIndeterminate Thyroid Nodules: A Pragmatic Approach (epmc).pdf DeepDyve Pubget Overpricing