Diagnostic values of thyroglobulin measurement in fine-needle aspiration of lymph nodes in patients with thyroid cancer View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-09-04

AUTHORS

Kyoungjune Pak, Sunghwan Suh, Hyunsook Hong, Gi Jeong Cheon, Seo Kyung Hahn, Keon Wook Kang, E. Edmund Kim, Dong Soo Lee, June-Key Chung

ABSTRACT

We aimed to evaluate the diagnostic performance of measuring the concentration of thyroglobulin (Tg) in the washout fluid of the needle aspiration (FNA-Tg). We performed a systematic search of MEDLINE (inception to October 2013) and EMBASE (inception to October 2013) for English publications using keywords “thyroid”, “aspiration”, “washout”, and “thyroglobulin”. All searches were limited to human studies. We included studies of FNA-Tg measurement in the washout fluid rinsed with 1 ml of normal saline. Eight studies including 843 lymph nodes (LNs) were eligible for this study. The pooled sensitivity and specificity of preoperative studies are 0.89 [95 % CI 0.82–0.95], 0.60 [0.49–0.70], and those of postoperative studies are 1.0 [0.83–1.0], 1.0 [0.92–1.0]. To determine best cutoffs from each preoperative and postoperative study, the distance between the point (0, 1) and each observed cutoff values (1-specificity, sensitivity) was calculated, and the distance is minimal when the cutoff value of 32.04 for preoperative studies and of 0.9 for postoperative one are selected. FNA-Tg can be used for both preoperative and postoperative evaluation of LN metastasis. Although the cutoff values for the FNA-Tg has not been standardized, preoperative values of 32.04 ng/ml and postoperative values of 0.9 ng/ml are recommended for identifying neck LN metastasis More... »

PAGES

70-77

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s12020-014-0410-z

DOI

http://dx.doi.org/10.1007/s12020-014-0410-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1044610867

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/25185721


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