From the Department of Internal Medicine and the Dept. of Pathology, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Islamic Republic of Iran,
Abstract: (4251 Views)
377 patients with single thyroid nodule who clinically were candidates for
surgery, were selected from the patients that referred to the clinics of endocrinology
at Namazee Hospital, Shiraz Medical School. Fine needle aspiration (FNA) was
carried out without performing thyroid scan and the results were compared with
histology obtained by surgery to establish its accuracy in our center. which is an area
of endemic goiter. 72% were benign confirmed by surgery, 17% malignant(of which
two cases were colloid goiter) and II % (42 cases) were suspicious: of these 42
suspicious cases, 28.5% were follicular carcinoma and the rest were benign. In this
study sensitivity and specificity of FNA were 91 % and 97%, respectively. In
conclusion, although our area is an endemic goiter area, the accuracy of FNA is
comparable to iodine sufficient areas.