Table of contents
This section is intended to provide practical tools for the latest information regarding Thyroid FNA's. Admittedly, there is some personal gain in this, as I will certainly utilize this to assist me with my daily Thyroid FNA signout. Hopefully, through this practical excercise, other users will find this information helpful as well. Additionally, I welcome others to contribute their insights and practical experience in this area as well. There is an excellent article available on the American Cancer Society's website, that I strongly recommended as a study aide to learn more about new changes in thyroid classification and management. Lester J. Layfield, MD1, Edmund S. Cibas, MD2, Hossein Gharib, MD3 and Susan J. Mandel, MD, MPH4. Thyroid Aspiration Cytology: Current Status. CA Cancer J Clin 2009; 59:99-110.
Thyroid FNA Classification
TABLE 1 National Cancer Institute Thyroid Fine-Needle? Aspiration (FNA) Guidelines Committee IV: The Suggested Thyroid FNA Classification Scheme
|SUGGESTED CATEGORY||ALTERNATE CATEGORY*||RISK OF MALIGNANCY|
|Atypia of undetermined significance||Indeterminate follicular lesions, R/O neoplasm, atypical follicular lesion, cellular follicular lesion||5-10%|
|Neoplasm||Suspicious for neoplasm||20-30%|
|Suspicious for malignancy||-||50-75%|
|*These terms can be used instead of the suggested category terms (based on website response and National Cancer Institute meeting attendees).|
Thyroid FNA Management
Citations/Credits FIGURE 1. Post-FNA Management for Diagnostic Categories. Lester J. Layfield, MD1, Edmund S. Cibas, MD2, Hossein Gharib, MD3 and Susan J. Mandel, MD, MPH4. Thyroid Aspiration Cytology: Current Status. CA Cancer J Clin 2009; 59:99-110.
- Mindmap: I assembled this quick guide from a recent CAP Today article which discussed thyroid FNA management, and converted to a quick-reference mindmap. I hope you find this useful.
- Thyroid FNA Management Mindmap-for Windows users, Mindmanager Viewer
- Thyroid FNA Management Mindmap-For MAC or Linux users-just PDF version
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