A 57-year-old male with untreated hypertension presented with a 6 × 7 cm anterior
neck mass for 6 months (Fig. 1a). Neck ultrasound with doppler flow identified a huge cystic mass with a hypervascularity
exophytic solid nodule sized 2.7 cm at the left thyroid lobe (Fig. 1b). He had no recent history of taking anti-platelet or other medications. Ultrasound
features aroused suspicion of a malignancy in the mural mass (Fig. 1c). Pre-fine needle aspiration (FNA) blood pressure was 164/94 mmHg and oral manidipine
10 mg was given shortly before the procedure. Approximately 55 mL of hemorrhagic fluid
was aspirated and followed by FNA of the solid nodule under plain ultrasound-guidance
with a 23-gauge needle. Six passes were made into the nodule. Direct compression of
the FNA sites was done for a few minutes and he was clinically in good condition immediately
after the procedure.
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References
- Clinical complications following thyroid fine-needle biopsy: a systematic review.Clin Endocrinol (Oxf). 2009; 71: 157-165
- Complications after fine-needle aspiration cytology: a retrospective study of 7449 consecutive thyroid nodules.Br J Oral Maxillofac Surg. 2017; 55: 266-269
- Fine-needle aspiration of the thyroid: technique and terminology.Endocrinol Metab Clin N Am. 2007; 36: 737-751
Article info
Publication history
Published online: September 11, 2022
Accepted:
September 7,
2022
Received:
February 7,
2022
Identification
Copyright
© 2022 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.
