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What you see might not be what you get : Analysis of 15 prospective cases of non-invasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP)
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- Al Hassan, Mohamed S. (författare)
- Department of Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar
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- El Ansari, Walid (författare)
- Högskolan i Skövde,Institutionen för hälsovetenskaper,Forskningsmiljön hälsa, hållbarhet och digitalisering,Department of Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar ; College of Medicine, Qatar University, Doha, Qatar ; Weill Cornell Medicine – Qatar, Doha, Qatar,Research on Citizen Centered Health, University of Skövde (Reacch US)
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- El Baba, Hamzah (författare)
- Department of Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar
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- Petkar, Mahir (författare)
- Department of Laboratory Medicine and Pathology, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar
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- Abdelaal, Abdelrahman (författare)
- Department of Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar
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(creator_code:org_t)
- Elsevier, 2022
- 2022
- Engelska.
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Ingår i: International Journal of Surgery Case Reports. - : Elsevier. - 2210-2612. ; 91
- Relaterad länk:
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https://doi.org/10.1...
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https://his.diva-por... (primary) (Raw object)
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Introduction: Noninvasive follicular thyroid neoplasm with papillary-like nuclear (NIFTP) is a new entity. No previous study reported prospective cases, outlining using many quantitative and qualitative variables. Methods: Retrospective analysis of all (15) prospective NIFTP cases diagnosed between 2017 and 2021 at our institution. Statistical quantitative analysis outlined demographic, history, ultrasound, histopathology and treatment characteristics. Qualitative analysis examined the cases, with details provided on three cases to highlight the different possible presentations and configurations. Results: Mean age was 41.5 ± 9.91 years, 73.3% were females, and mean BMI was 29.49 ± 5.74 kg/m2. About 87% patients were symptomatic; 86.6% had neck swelling. Ultrasound (US) showed multiple nodules in 71.4% of cases. Fine-needle aspiration cytology (FNAC) showed that follicular lesion of undetermined significance (42.8%) was most common, followed by benign nodule (21.3%). Using the Bethesda System for Reporting Thyroid Cytopathology, 7 cases were category III, 3 category IV, 3 category II, and 1 category I. 60% of patients underwent total thyroidectomy. All cases were diagnosed postoperatively, 2 patients had additional papillary microcarcinoma. In 3 cases, the NIFTP site in the histopathology of resected specimen was different than the US-recommended site of the FNAC. Conclusion: We found discrepancies in the site and diagnosis of the preoperative US recommendation for the FNAC vs the postoperative histopathology of the specimen. These suggest that NIFTP might be incidentally and postoperatively diagnosed, irrespective of US or FNAC findings, hence its ‘true’ incidence might remain underestimated. As NIFTP cases higher BMI, Future research could predict preoperative diagnosis of NIFTP and explore associations with BMI.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- Follicular thyroid neoplasm
- NIFTP
- Nodule
- Noninvasive
- Papillary thyroid carcinoma
- Papillary-like nuclear features
- vitamin D
- adult
- autoimmune thyroiditis
- benign neoplasm
- blood vessel calcification
- case report
- cervical lymphadenopathy
- clinical article
- cytology
- cytopathology
- demographics
- demography
- dysphagia
- dyspnea
- Egyptian
- epilepsy
- female
- fine needle aspiration biopsy
- histopathology
- human
- human tissue
- hypertension
- incidence
- male
- medical history
- middle aged
- migraine
- neck pain
- neck swelling
- obesity
- oncocytoma
- papillary carcinoma
- Qatari
- quantitative analysis
- rare disease
- retrospective study
- Short Survey
- thyroid cyst
- thyroid hyperplasia
- thyroid lobe
- thyroid nodule
- thyroid tumor
- thyroidectomy
- toxic goiter
- ultrasound
- Research on Citizen Centered Health, University of Skövde (Reacch US)
- Medborgarcentrerad hälsa (Mech)
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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