PDF(Pubmed)
Abstract：
BACKGROUND The complications of fine-needle aspiration cytology (FNAC) are rare but can be challenging for performing physicians to diagnose and manage. This type of procedure is perceived as routine and devoid of substantial risks, but uncommon complications can occur and need to be addressed with careful workup. CASE REPORT A FNAC procedure for a young female patient with multiple thyroid nodules was requested by her general practitioner. After the FNAC thyroid procedure, a carotid wall hematoma was suspected and could not be excluded with ultrasound (US) alone. Thus, the patient underwent a computed tomography angiogram (CTA) that excluded blood extravasation from the carotid, confirming the suspicion of perivascular blood accumulation. As a precaution, the patient was hospitalized, with US follow-up; she was dismissed the day after her hospital admission with a diagnosis of a benign thyroid nodule in multinodular goiter according to SIAPEC-IAP classification. CONCLUSIONS This case highlights how a routine-perceived procedure such as FNAC could present a challenge to the performing physicians, pathologist, and radiologist, raising the suspicion of a severe complication that needs to be addressed with a readily available emergency service that may be accessible only within a central hospital-level organization. This case reinforces the point that more careful adherence to clinic-radiological guidelines is needed to avoid potentially inappropriate and harmful procedures. A review of the literature concerning guidelines for FNAC procedure, diagnostic classifications, and reported complications is provided as part of this case report.
摘要：
背景技术细针抽吸细胞学(FNAC)的并发症是罕见的,但是对于执行医师诊断和管理来说可能是具有挑战性的。这种类型的程序被认为是常规的，没有实质性的风险，但罕见的并发症可能会发生，需要通过仔细的检查来解决。病例报告她的全科医生要求对一名患有多个甲状腺结节的年轻女性患者进行FNAC手术。FNAC甲状腺手术后,我们怀疑颈动脉壁血肿,单用超声(US)不能排除.因此，患者接受了计算机断层扫描血管造影（CTA），排除了颈动脉的血液外渗，证实了血管周围血液积聚的嫌疑.作为预防措施,病人住院了,随着美国的随访;根据SIAPEC-IAP分类，她因诊断为多结节性甲状腺肿的良性甲状腺结节而入院后第二天被解雇。结论此案例突出了诸如FNAC之类的常规感知程序如何对执行医师提出挑战，病理学家,和放射科医生,引起严重并发症的怀疑，需要通过易于使用的紧急服务来解决，该服务可能仅在中央医院级别的组织内才能使用。这种情况加强了这一点，即需要更加谨慎地遵守临床放射学指南，以避免潜在的不适当和有害的程序。审查有关FNAC程序指南的文献，诊断分类，报告的并发症作为本病例报告的一部分提供。
