| Systematic review of cases reporting blood extravasation-related complications after thyroid fine-needle biopsy. | |
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MedLine Citation:
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PMID: 20828516 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Thyroid fine-needle biopsy (FNB) is the procedure of choice in the preoperative management of thyroid nodules because of its accuracy and cost-effectiveness. Minor hematomas are the most common complications, but their morbidity is usually negligible. On the other hand, massive hematomas seem to be rare, but life-threatening, if the performer is unaware or careless and the patient is not adequately informed. In this review, we tried to summarize all reported blood extravasation-related post-FNB complications (hemorrhage, hematomas, and secondary hemangiomas) and provide useful hints to avoid them. DESIGN: Systematic review of the literature. SETTING: Second Medical Clinic of Aristotle University of Thessaloniki in Greece. METHODS: Computerized advanced search for primary evidence was performed in the PubMed (Public/Publisher MEDLINE) electronic database. The search was not limited by publication time or English language. RESULTS: The reported incidence of blood extravasation-related complications during or after FNB ranges between 1.9 and 6.4% in different studies. This variability is possibly due to definition or record biases. Intranodular hemorrhage within the cystic part of complex nodules following fluid aspiration seems to be even more frequent. Seven cases of post-FNB life-threatening massive hematomas resulting in airway obstruction were found as well as four described cases with secondary hemangioma attributed to FNB. CONCLUSIONS: Despite the potential risk of post-FNB hemorrhage, hematomas, or secondary hemangiomas, the overall usefulness and safety of FNB are not questionable, considering the large number of FNBs performed worldwide everyday. |
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Authors:
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Stergios A Polyzos; Athanasios D Anastasilakis |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale Volume: 39 ISSN: 1916-0216 ISO Abbreviation: J Otolaryngol Head Neck Surg Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-09-10 Completed Date: 2011-02-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101479544 Medline TA: J Otolaryngol Head Neck Surg Country: Canada |
Other Details:
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Languages: eng Pagination: 532-41 Citation Subset: IM |
Affiliation:
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Second Medical Clinic, Medical School, Aristotle University of Thessaloniki, Ippokration Hospital, Thessaloniki, Greece. stergios@endo.gr |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Biopsy, Fine-Needle
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adverse effects* Hemorrhage* / diagnosis, epidemiology, etiology Humans Incidence Risk Factors Thyroid Nodule / pathology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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