Precision in the diagnosis of thyroid and breast lesions is crucial for planning appropriate treatment, reducing the need for unnecessary invasive procedures, and increasing the chances of a successful outcome for the patient. In this context, ultrasound-guided fine-needle aspiration (FNA) emerges as a valuable technique, offering highly accurate and minimally invasive diagnostic results. A study reviewed the application of FNA in the investigation of thyroid nodules, emphasizing its importance in treatment stratification and prevention of unnecessary thyroid surgeries (Feldkamp et al., 2016). This research highlights how the technique, when performed by experienced hands, significantly contributes to clinical practice, reinforcing the need for adequate training for professionals.
Furthermore, the diagnostic accuracy of ultrasound-guided FNA for thyroid nodules was evaluated, demonstrating the effectiveness of this approach (Wang et al., 2019). AnandShankar et al.'s study (2020) complements this view, comparing FNA and non-aspiration cytology in thyroid lesions, concluding a similar diagnostic accuracy of both techniques, once again highlighting the importance of an experienced operator. In the field of diagnosing breast lesions, core needle biopsy (CNB) has partially replaced FNA due to its ability to provide tissue samples that allow for a more comprehensive evaluation (Liebens et al., 2009). This technical advancement illustrates the continuous evolution of biopsy techniques and the corresponding need for professional training and updates.
James and Baron's review (2018) addresses the technical and procedural aspects of ultrasound biopsy needles, highlighting the evolution of biopsy needles and the importance of adequate training to ensure procedural success. Similarly, Levine and Trindade (2021) emphasize the comparison between FNA and fine-needle biopsy (FNB), techniques applicable to breast lesions as well, discussing their efficacies and limitations and emphasizing the need for well-trained professionals to perform these procedures. It is important to note that the success of these techniques depends not only on the technology used but also on the skill and experience of the operator. Continuous education and training are essential for healthcare professionals to provide the best possible care to their patients. The presence of a cytopathologist during FNA can significantly improve the success rate of the procedure, reducing the need for repeat biopsies and accelerating diagnosis (Ganguly, Burnside, & Nixon, 2014).
Developing skills in ultrasound-guided biopsies requires a deep understanding of anatomy, competence in interpreting ultrasound images, and skill in performing biopsies. Specific training and certification programs, along with supervised practice, are essential for developing these competencies.
In conclusion, ultrasound-guided FNA techniques for thyroid and breast lesions represent a significant advancement in the diagnosis of these conditions. The accuracy, safety, and minimization of invasive procedures highlight the importance of these techniques. However, the success of these procedures depends intrinsically on the training and experience of the operator. Therefore, investing in professional development in this area not only enhances diagnostic skills but also directly contributes to improving patient care.
References:
Feldkamp, J., Führer, D., Luster, M., Musholt, T., Spitzweg, C., & Schott, M. (2016). Fine Needle Aspiration in the Investigation of Thyroid Nodules. Deutsches Arzteblatt international, 113(20), 353-9.
Wang, J., Liu, J., & Liu, Z. (2019). Impact of ultrasound-guided fine needle aspiration cytology for diagnosis of thyroid nodules. Medicine, 98.
AnandShankar, S., Vinothkumar, S., & Babu, C. P. G. (2020). ROLE OF ULTRASOUND GUIDED FINE NEEDLE ASPIRATION CYTOLOGY AND NON ASPIRATION CYTOLOGY IN THYROID LESIONS- A CONTEMPORARY REVIEW. Indian journal of applied research, 10.
Liebens, F., Carly, B., Cusumano, P., Van Beveren, M., Beier, B., Fastrez, M., & Rozenberg, S. (2009). Breast cancer seeding associated with core needle biopsies: a systematic review. Maturitas, 62(2), 113-23.
James, T., & Baron, T. (2018). A comprehensive review of endoscopic ultrasound core biopsy needles. Expert Review of Medical Devices, 15, 127 - 135.
Levine, I., & Trindade, A. (2021). Endoscopic ultrasound fine needle aspiration vs fine needle biopsy for pancreatic masses, subepithelial lesions, and lymph nodes. World Journal of Gastroenterology, 27, 4194 - 4207.
Ganguly, A., Burnside, G., & Nixon, P. (2014). A systematic review of ultrasound-guided FNA of lesions in the head and neck--focusing on operator, sample inadequacy and presence of on-spot cytology service. The British journal of radiology, 87(1044), 20130571.