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- Title
Complications following US-guided core-needle biopsy for thyroid lesions: a retrospective study of 6,169 consecutive patients with 6,687 thyroid nodules.
- Authors
Ha, Eun; Baek, Jung; Lee, Jeong; Kim, Jae; Choi, Young; Sung, Tae; Kim, Tae; Ha, Eun Ju; Baek, Jung Hwan; Lee, Jeong Hyun; Kim, Jae Kyun; Choi, Young Jun; Sung, Tae Yon; Kim, Tae Yong
- Abstract
<bold>Objectives: </bold>To present the various complications of ultrasound (US)-guided core needle biopsy (CNB) of thyroid lesions in a large patient series.<bold>Methods: </bold>From January 2008 to March 2013, 6,169 patients underwent US-guided CNB of 6,687 thyroid nodules at a single institution. We assessed the number and types of major and minor complications, and evaluated the factors associated with complications.<bold>Results: </bold>Overall, 53 complications were observed in 50 patients (0.81 %), including 4 major and 49 minor complications. The major complications were massive haematoma (n = 2), pseudoaneurysm (n = 1) and voice change leading to disability that lasted for more than 30 days (n = 1). The minor complications were small to moderate haematoma (n = 42), carotid injury (n = 2), voice change that recovered within 30 days (n = 3), tracheal puncture (n = 1) and dysphagia (n = 1). Oedema (n = 12), vertebral puncture (n = 3) and vasovagal reaction (n = 1) were recorded as side effects. The presence of a coprocedure was the only significant factor associated with complications after thyroid CNB (P = 0.023).<bold>Conclusions: </bold>US-guided CNB of thyroid lesions was found in a large population to be a safe procedure with a low complication rate.<bold>Key Points: </bold>• The complication rate after US-guided CNB for thyroid lesions was 0.81 % (50/6,169). • The rate of major complications was 0.06 % (4/6,169). • Vascular injury was the most common complication (47/6,169; 0.76 %). • None of the patients experienced permanent problems resulting from complications.
- Subjects
THYROID diseases; BIOPSY; ULTRASONIC imaging; THYROID cancer patients; DISEASE complications; HEMATOMA; NEEDLE biopsy; THYROID gland; THYROID gland tumors; VOICE disorders; RETROSPECTIVE studies; FALSE aneurysms
- Publication
European Radiology, 2017, Vol 27, Issue 3, p1186
- ISSN
0938-7994
- Publication type
journal article
- DOI
10.1007/s00330-016-4461-9