Amanullah Khan, Uzma Saeed, Naveed Mazhar




Objective of study: To determine if two punctures in fine needle aspiration biopsies are sufficient for cytological analysis of thyroid nodules.


Materials and Methods: A cross-sectional study was carried out with the emphasis towards a diagnosis. The sample size for the study was taken conveniently form a total of 172 patients who reported at the healthcare facility for ultrasound guided FNAB. The study was carried out for a period of 1 year and 8 months. For the procedure to be carried out an aspiration puncture technique was used with a gauge size of 22. Results of the biopsy were entered into SPSS version 19.0. Continuous variables were reported in the form of mean and standard deviation while categorical variables were reported in the form of frequency and percentages. 

Results: The mean age of the study participants was 44±13.4 years. Out of the 172 patients, 65 (75.6%) were women. With the utilization of two punctures, the correct analysis was obtained for 97.6% of the patients. The most commonly reported cytological finding was of Nodular goiter (41.9%) followed by Cystic Colloid Goiter (18.6%).


CONCLUSION: The study concludes that administration of two fine needle aspiration punctures allows correct analysis and identification of thyroid nodules in 97.6% of the cases. This study thus suggests that multiple punctures are not required for a safe and appropriate diagnosis of thyroid nodules.   

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