Diagnosis from thyroid aspirates. Is the cytopathologist handicapped if not fully informed about the patient?
OBJECTIVE
When fine needle aspiration cytology (FNA) of the thyroid is performed as a first-line test, the cytopathologist cannot be fully informed about the patient's data. The authors investigated whether this decreases the accuracy of FNA and results in consequences for the patient.


METHODS
FNA smears of 202 patients, 190 with benign and 12 with malignant thyroid disease, were reevaluated, supplying the cytopathologist first with only information from the case history known already at the initial admission, and subsequently with full data.


RESULTS
The FNA diagnoses were corrected in 13 cases; in 8/13 they showed a more serious finding. The therapeutic modality was changed in only one case. No corrections were made in the ultimately malignant cases.


CONCLUSIONS
In several cases the cytopathologist may be handicapped by receiving only partial information about the patient, but in our patients this had no demonstrable adverse consequences. Thus, FNA can be performed upon patient's admission.
Szabolcs
I
I
First Department of Medicine, Haynal Imre University of Health Sciences, Budapest, Hungary.
Kaszás
I
I
Dohán
O
O
Góth
M
M
Kovács
L
L
Szilágyi
G
G
D001707:Biopsy, Needle; D003581:Cytodiagnosis / Q000379:methods*; D006801:Humans; D013959:Thyroid Diseases / Q000175:diagnosis*; D013961:Thyroid Gland / Q000473:pathology; D013964:Thyroid Neoplasms / Q000175:diagnosis*