metricas
covid
Buscar en
Clinics
Toda la web
Inicio Clinics Comments: Effect of the location and size of thyroid nodules on the diagnostic p...
Journal Information

Statistics

Follow this link to access the full text of the article

COMMENTS
Comments: Effect of the location and size of thyroid nodules on the diagnostic performance of ultrasound elastography: A retrospective analysis
Demet SengulI,
Corresponding author
demet.sengul.52@gmail.com

Corresponding author.
, Ilker SengulII,III
I Department of Pathology, Giresun University Faculty of Medicine, 28100 Giresun, Turkey
II Division of Endocrine Surgery, Giresun University Faculty of Medicine, 28100 Giresun, Turkey
III Department of General Surgery, Giresun University Faculty of Medicine, 28100 Giresun, Turkey
Read
724
Times
was read the article
348
Total PDF
376
Total HTML
Share statistics
 array:25 [
  "pii" => "S1807593222001806"
  "issn" => "18075932"
  "doi" => "10.6061/clinics/2021/e2891"
  "estado" => "S300"
  "fechaPublicacion" => "2021-01-01"
  "aid" => "180"
  "copyright" => "CLINICS"
  "copyrightAnyo" => "2021"
  "documento" => "simple-article"
  "crossmark" => 0
  "licencia" => "https://creativecommons.org/licenses/by/4.0/"
  "subdocumento" => "dis"
  "cita" => "Clinics. 2021;76C:"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S1807593222001818"
    "issn" => "18075932"
    "doi" => "10.6061/clinics/2021/e2892"
    "estado" => "S300"
    "fechaPublicacion" => "2021-01-01"
    "aid" => "181"
    "copyright" => "CLINICS"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "https://creativecommons.org/licenses/by/4.0/"
    "subdocumento" => "fla"
    "cita" => "Clinics. 2021;76C:"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">ORIGINAL ARTICLE</span>"
      "titulo" => "Symptoms of anxiety and depression in patients with primary hyperhidrosis and its association with the result of clinical treatment with oxybutynin"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => "en"
      "contieneResumen" => array:1 [
        "en" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "D&#233;bora Yumi Ferreira Kamikava, Nelson Wolosker, Marcelo Fiorelli Alexandrino da Silva, Jos&#233; Ribas Milanez de Campos, Pedro Puech-Le&#227;o"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "D&#233;bora Yumi Ferreira"
              "apellidos" => "Kamikava"
            ]
            1 => array:2 [
              "nombre" => "Nelson"
              "apellidos" => "Wolosker"
            ]
            2 => array:2 [
              "nombre" => "Marcelo Fiorelli Alexandrino da"
              "apellidos" => "Silva"
            ]
            3 => array:2 [
              "nombre" => "Jos&#233; Ribas Milanez de"
              "apellidos" => "Campos"
            ]
            4 => array:2 [
              "nombre" => "Pedro"
              "apellidos" => "Puech-Le&#227;o"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1807593222001818?idApp=UINPBA00004N"
    "url" => "/18075932/000000760000000C/v1_202211191031/S1807593222001818/v1_202211191031/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S180759322200179X"
    "issn" => "18075932"
    "doi" => "10.6061/clinics/2021/e2890"
    "estado" => "S300"
    "fechaPublicacion" => "2021-01-01"
    "aid" => "179"
    "copyright" => "CLINICS"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "https://creativecommons.org/licenses/by/4.0/"
    "subdocumento" => "fla"
    "cita" => "Clinics. 2021;76C:"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">ORIGINAL ARTICLE</span>"
      "titulo" => "Epidemiological Analysis of 5&#44;595 Procedures of Endovascular Correction of Isolated Descending Thoracic Aortic Disease Over 12 Years in the Public Health System in Brazil"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => "en"
      "contieneResumen" => array:1 [
        "en" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Maria Fernanda Cassino Portugal, Marcelo Passos Teivelis, Marcelo Fiorelli Alexandrino da Silva, Alexandre Fioranelli, Claudia Szlejf, Edson Amaro-J&#250;nior, Nelson Wolosker"
          "autores" => array:7 [
            0 => array:2 [
              "nombre" => "Maria Fernanda Cassino"
              "apellidos" => "Portugal"
            ]
            1 => array:2 [
              "nombre" => "Marcelo Passos"
              "apellidos" => "Teivelis"
            ]
            2 => array:2 [
              "nombre" => "Marcelo Fiorelli Alexandrino da"
              "apellidos" => "Silva"
            ]
            3 => array:2 [
              "nombre" => "Alexandre"
              "apellidos" => "Fioranelli"
            ]
            4 => array:2 [
              "nombre" => "Claudia"
              "apellidos" => "Szlejf"
            ]
            5 => array:2 [
              "nombre" => "Edson"
              "apellidos" => "Amaro-J&#250;nior"
            ]
            6 => array:2 [
              "nombre" => "Nelson"
              "apellidos" => "Wolosker"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S180759322200179X?idApp=UINPBA00004N"
    "url" => "/18075932/000000760000000C/v1_202211191031/S180759322200179X/v1_202211191031/en/main.assets"
  ]
  "asociados" => array:1 [
    0 => array:19 [
      "pii" => "S1807593222003362"
      "issn" => "18075932"
      "doi" => "10.6061/clinics/2020/e1720"
      "estado" => "S300"
      "fechaPublicacion" => "2020-01-01"
      "aid" => "336"
      "copyright" => "CLINICS"
      "documento" => "article"
      "crossmark" => 0
      "licencia" => "https://creativecommons.org/licenses/by/4.0/"
      "subdocumento" => "fla"
      "cita" => "Clinics. 2020;75C:"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:1 [
        "total" => 0
      ]
      "en" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">ORIGINAL ARTICLE</span>"
        "titulo" => "Effect of the location and size of thyroid nodules on the diagnostic performance of ultrasound elastography&#58; A retrospective analysis"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "tieneResumen" => "en"
        "contieneResumen" => array:1 [
          "en" => true
        ]
        "contieneTextoCompleto" => array:1 [
          "en" => true
        ]
        "contienePdf" => array:1 [
          "en" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig3"
            "etiqueta" => "Figure 3"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr3.jpeg"
                "Alto" => 680
                "Ancho" => 902
                "Tamanyo" => 58533
              ]
            ]
            "descripcion" => array:1 [
              "en" => "<p id="spara30" class="elsevierStyleSimplePara elsevierViewall">Grayscale ultrasound image of the right thyroid lobe of a 36-year-old female patient&#46; The nodule was 3 mmin size&#46; The white circle and white arrow indicate a suspicious thyroid nodule&#46; The saffron circle and saffron arrow indicate the carotid artery&#46; AB&#58; the depth of the nodule and AC&#58; the distance of the nodule from the carotid artery&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Xinxin Xie, Yongqiang Yu"
            "autores" => array:2 [
              0 => array:2 [
                "nombre" => "Xinxin"
                "apellidos" => "Xie"
              ]
              1 => array:2 [
                "nombre" => "Yongqiang"
                "apellidos" => "Yu"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1807593222003362?idApp=UINPBA00004N"
      "url" => "/18075932/000000750000000C/v1_202211290815/S1807593222003362/v1_202211290815/en/main.assets"
    ]
  ]
  "en" => array:10 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">COMMENTS</span>"
    "titulo" => "Comments&#58; Effect of the location and size of thyroid nodules on the diagnostic performance of ultrasound elastography&#58; A retrospective analysis"
    "tieneTextoCompleto" => true
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Demet Sengul, Ilker Sengul"
        "autores" => array:2 [
          0 => array:4 [
            "nombre" => "Demet"
            "apellidos" => "Sengul"
            "email" => array:1 [
              0 => "demet.sengul.52@gmail.com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">I</span>"
                "identificador" => "aff1"
              ]
              1 => array:2 [
                "etiqueta" => "&#42;"
                "identificador" => "cor1"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Ilker"
            "apellidos" => "Sengul"
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">II</span>"
                "identificador" => "aff2"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">III</span>"
                "identificador" => "aff3"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Department of Pathology&#44; Giresun University Faculty of Medicine&#44; 28100 Giresun&#44; Turkey"
            "etiqueta" => "I"
            "identificador" => "aff1"
          ]
          1 => array:3 [
            "entidad" => "Division of Endocrine Surgery&#44; Giresun University Faculty of Medicine&#44; 28100 Giresun&#44; Turkey"
            "etiqueta" => "II"
            "identificador" => "aff2"
          ]
          2 => array:3 [
            "entidad" => "Department of General Surgery&#44; Giresun University Faculty of Medicine&#44; 28100 Giresun&#44; Turkey"
            "etiqueta" => "III"
            "identificador" => "aff3"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor1"
            "etiqueta" => "&#42;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="para10" class="elsevierStylePara elsevierViewall">We read with great interest the research article entitled &#8220;Effect of the location and size of thyroid nodules on the diagnostic performance of ultrasound elastography&#58; A retrospective analysis&#8221; by Xie and Yu &#40;<a class="elsevierStyleCrossRef" href="#bib1">1</a>&#41;&#46; The authors claimed that the results of strain ultrasound elastography should be carefully evaluated when small thyroid nodules are close to the carotid artery&#46; They indicated that the use of cytology to determine nodule parameters is effective in determining the diagnostic ability of strain ultrasound elastography&#46; However&#44; they discussed only benign and suspicious nodules throughout their article&#46;</p><p id="para20" class="elsevierStylePara elsevierViewall">According to the Bethesda System for Reporting Thyroid Cytopathology &#40;TBSRTC&#41;&#44; 1st ed&#46;&#44; the risk of malignancy &#40;ROM&#41; from indeterminate cytology is as follows&#58; III&#44; atypia of undetermined significance or follicular lesion of undetermined significance &#40;AUS&#47;FLUS&#41;&#44; 5&#37;&#8722;15&#37;&#59; IV&#44; follicular neoplasm &#40;FN&#41; or suspicious for a follicular neoplasm &#40;SFN&#41;&#44; 15&#37;&#8722;30&#37;&#59; and V&#44; suspicious for malignancy &#40;SM&#41;&#44; 60&#37;&#8722;75&#37;&#44; while in the TBSRTC 2nd ed&#46;&#44; the ROMs are 10&#37;&#8722;30&#37;&#44; 25&#37;&#8722;40&#37;&#44; and 50&#37;&#8722;75&#37;&#44; respectively&#46;</p><p id="para30" class="elsevierStylePara elsevierViewall">The leading thyroid cytology classification systems have categorized indeterminate cytology and their associated ROMs into categories equivalent to III&#44; IV&#44; and V of the TBSRTC&#46;</p><p id="para40" class="elsevierStylePara elsevierViewall">The current 2016 UK Royal College of Pathologists &#40;RCPath&#41; Thy terminology divides the indeterminate cytology category Thy3 into Thy3a&#44; neoplasm possible&#44; atypia&#47;nondiagnostic&#44; and Thy3f&#44; neoplasm possible&#44; suggestive of FN&#44; with ROMs of 20&#37;&#8722;31&#37;&#44; and 24&#37;&#8722;39&#37;&#44; respectively&#44; and defines Thy4 as SM with a ROM of 70&#37;&#8722;87&#37;&#46;</p><p id="para50" class="elsevierStylePara elsevierViewall">The 2014 Italian Consensus for the Classification and Reporting of Thyroid Cytology &#40;ICCRTC&#41; divided its diagnostic category TIR3&#44; indeterminate cytology&#44; into two subcategories&#58; TIR3A &#40;low-risk indeterminate lesion&#44; LRIL&#41; and TIR3B &#40;high-risk indeterminate lesion&#44; HRIL&#41;&#44; with different expected cancer risks and discrete clinical characteristics&#46; TIR3A is characterized by augmented cellularity with numerous microfollicular structures in a low colloid background or a scarce cellular structure consisting predominantly of microfollicular groups with oxyphilic features &#40;Hurthle cells&#41;&#44; with an expected cancer risk of &#60;10&#37;&#46; TIR3B is characterized by mild&#47;focal nuclear atypia&#44; with an expected cancer risk of 20&#37;&#8722;30&#37;&#46; The ICCRTC also includes category TIR4&#44; SM with an expected malignancy risk of 60&#37;&#8722;80&#37;&#46;</p><p id="para60" class="elsevierStylePara elsevierViewall">The 2014 Royal College of Pathologists of Australasia &#40;RCPA&#41; and Australian Society of Cytology &#40;ASC&#41; categorized thyroid nodules as follows&#58; 3&#44; indeterminate &#40;AUS&#47;FLUS&#41; with a low ROM of 5&#37;&#8722;13&#37;&#59; 4&#44; suggestive of an FN &#40;FN&#47;SFN&#41; with a moderate ROM of 21&#37;&#8722;26&#37;&#59; and 5&#44; SM with a high ROM of 85&#37;&#8722;90&#37;&#46;</p><p id="para70" class="elsevierStylePara elsevierViewall">The 2013 Japan Thyroid Association &#40;JTA&#41; Guidelines for the Management of Thyroid Nodules categories are as follows&#58; indeterminate B&#44; other tumors&#44; &#40;TBSTRC III&#41;&#59; indeterminate A&#44; FN&#44; &#40;TBSRTC IV&#41;&#44; i&#41; indeterminate A1&#44; favor benign&#44; ii&#41; indeterminate A2&#44; borderline&#44; iii&#41; indeterminate A3&#44; favor malignant&#59; and SM &#40;TBSRTC V&#41;&#46;</p><p id="para80" class="elsevierStylePara elsevierViewall">In addition&#44; the first one remains a crucial challenging cytological category in all systems&#46; Category I in TBSRTC&#44; 1st and 2nd ed&#46;&#44; is Nondiagnostic or Unsatisfactory&#46; Category Thy1 in the 2016 RCPath is Nondiagnostic for cytological diagnosis and Thy1c is Nondiagnostic for cytological diagnosis-cystic lesion&#46; Category TIR1 in the 2014 ICCRTC&#47;Italian Society for Anatomic Pathology and Cytology&#8722;Italian Thyroid Association &#40;SIAPEC-AIT2013&#41; is Nondiagnostic and TIR1c is Nondiagnostic cystic&#46; Category 1 in the 2014 RCPA&#47;ASC is Nondiagnostic&#44; and Category 1 in the 2013 JTA is Inadequate&#46; These categories are still used in the management of suspicious &#40;not just indeterminate cytology&#41; nodules &#40;<a class="elsevierStyleCrossRefs" href="#bib2">2-7</a>&#41;&#46; Therefore&#44; a suspicious nodule may be classified as AUS&#47;FLUS&#44; FN&#47;SFN&#44; SM&#44; and even as nondiagnostic&#44; all of which have a wide range of ROMs&#46; Is it important to point out the cytological categories of the thyroid nodules in the research by Xie and Yu&#63; Has designating the nodules as &#8220;suspicious&#8221;&#44; while ICCRTC divided TIR3&#44; indeterminate cytology&#44; into A&#44; LRIL and B&#44; HRIL &#40;even though the latter corresponds to TBSRTC IV unlike the former&#41; and even sub-typing TBSRTC III is being discussed&#44; nowadays&#44; by some authors&#44; affected their results&#63; This issue merits further investigation&#46; We thank Xie and Yu for their valuable study&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:1 [
      0 => array:1 [
        "nota" => "<p class="elsevierStyleNotepara" id="cenpara10">No potential conflict of interest was reported&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "REFERENCES"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "cebibsec10"
          "bibliografiaReferencia" => array:7 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effect of the location and size of thyroid nodules on the diagnostic performance of ultrasound elastography&#58; A retrospective analysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => """
                              X Xie \n
                              \t\t\t\t\t\t\t\t
                              """
                            1 => """
                              Y Yu \n
                              \t\t\t\t\t\t\t\t
                              """
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:2 [
                    0 => array:1 [
                      "Revista" => array:3 [
                        "tituloSerie" => "Clinics &#40;Sao Paulo&#41;"
                        "fecha" => "2020"
                        "volumen" => "75"
                      ]
                    ]
                    1 => array:1 [
                      "WWW" => array:1 [
                        "link" => "https&#58;&#47;&#47;doi&#46;org&#47;10&#46;6061&#47;clinics&#47;2020&#47;e1720"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Association between Tsukuba elasticity scores 4 and 5 on elastography and Bethesda undetermined cytology on US-guided FNA with 27-G needle&#44; verified by histopathology&#58; a cut-off point of 20 mm of diameter designated for thyroid nodules"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => """
                              D Sengul \n
                              \t\t\t\t\t\t\t\t
                              """
                            1 => """
                              I Sengul \n
                              \t\t\t\t\t\t\t\t
                              """
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J BUON"
                        "fecha" => "2019"
                        "volumen" => "24"
                        "numero" => "1"
                        "paginaInicial" => "382"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30941995"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Risk stratification of the thyroid nodule with Bethesda indeterminate cytology&#44; category III&#44; IV&#44; V on the one surgeon-performed US-guided fine-needle aspiration with 27-gauge needle&#44; verified by histopathology of thyroidectomy&#58; the additional value of one surgeon-performed elastography"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => """
                              D Sengul \n
                              \t\t\t\t\t\t\t\t
                              """
                            1 => """
                              I Sengul \n
                              \t\t\t\t\t\t\t\t
                              """
                            2 => """
                              S Van Slycke \n
                              \t\t\t\t\t\t\t\t
                              """
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:2 [
                    0 => array:2 [
                      "doi" => "10.1080/00015458.2018.1551769"
                      "Revista" => array:7 [
                        "tituloSerie" => "Acta Chir Belg"
                        "fecha" => "2019"
                        "volumen" => "119"
                        "numero" => "1"
                        "paginaInicial" => "38"
                        "paginaFinal" => "46"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30606092"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                    1 => array:2 [
                      "doi" => "10.1080/00015458.2018.1551769"
                      "WWW" => array:1 [
                        "link" => "https&#58;&#47;&#47;doi&#46;org&#47;10&#46;1080&#47;00015458&#46;2018&#46;1551769"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Paraphrase for the impact of repeat fine-needle aspiration in thyroid nodules categorized as atypia of undetermined significance or follicular lesion of undetermined significance&#58; A single center experience"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => """
                              D Sengul \n
                              \t\t\t\t\t\t\t\t
                              """
                            1 => """
                              I Sengul \n
                              \t\t\t\t\t\t\t\t
                              """
                            2 => """
                              A Pelik&#225;n \n
                              \t\t\t\t\t\t\t\t
                              """
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:2 [
                    0 => array:2 [
                      "doi" => "10.1002/dc.24685"
                      "Revista" => array:7 [
                        "tituloSerie" => "Diagn Cytopathol"
                        "fecha" => "2021"
                        "volumen" => "49"
                        "numero" => "3"
                        "paginaInicial" => "452"
                        "paginaFinal" => "453"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/33347738"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                    1 => array:2 [
                      "doi" => "10.1002/dc.24685"
                      "WWW" => array:1 [
                        "link" => "https&#58;&#47;&#47;doi&#46;org&#47;10&#46;1002&#47;dc&#46;24685"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Italian consensus for the classification and reporting of thyroid cytology"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => """
                              F Nardi \n
                              \t\t\t\t\t\t\t\t
                              """
                            1 => """
                              F Basolo \n
                              \t\t\t\t\t\t\t\t
                              """
                            2 => """
                              A Crescenzi \n
                              \t\t\t\t\t\t\t\t
                              """
                            3 => """
                              G Fadda \n
                              \t\t\t\t\t\t\t\t
                              """
                            4 => """
                              A Frasoldati \n
                              \t\t\t\t\t\t\t\t
                              """
                            5 => """
                              F Orlandi \n
                              \t\t\t\t\t\t\t\t
                              """
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:2 [
                    0 => array:2 [
                      "doi" => "10.1007/s40618-014-0062-0"
                      "Revista" => array:7 [
                        "tituloSerie" => "J Endocrinol Invest"
                        "fecha" => "2014"
                        "volumen" => "37"
                        "numero" => "6"
                        "paginaInicial" => "593"
                        "paginaFinal" => "599"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24789536"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                    1 => array:2 [
                      "doi" => "10.1007/s40618-014-0062-0"
                      "WWW" => array:1 [
                        "link" => "https&#58;&#47;&#47;doi&#46;org&#47;10&#46;1007&#47;s40618-014-0062-0"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Experience with standardized thyroid fine-needle aspiration reporting categories&#58; follow-up data from 529 cases with &#8220;indeterminate&#8221; or &#8220;atypical&#8221; reports"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => """
                              ME Nga \n
                              \t\t\t\t\t\t\t\t
                              """
                            1 => """
                              MP Kumarasinghe \n
                              \t\t\t\t\t\t\t\t
                              """
                            2 => """
                              B Tie \n
                              \t\t\t\t\t\t\t\t
                              """
                            3 => """
                              GF Sterrett \n
                              \t\t\t\t\t\t\t\t
                              """
                            4 => """
                              B Wood \n
                              \t\t\t\t\t\t\t\t
                              """
                            5 => """
                              J Walsh \n
                              \t\t\t\t\t\t\t\t
                              """
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:2 [
                    0 => array:2 [
                      "doi" => "10.1002/cncy.20111"
                      "Revista" => array:8 [
                        "tituloSerie" => "Cancer Cytopathol"
                        "fecha" => "2010"
                        "volumen" => "118"
                        "numero" => "6"
                        "paginaInicial" => "423"
                        "paginaFinal" => "433"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20945329"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S157509221200232X"
                          "estado" => "S300"
                          "issn" => "15750922"
                        ]
                      ]
                    ]
                    1 => array:2 [
                      "doi" => "10.1002/cncy.20111"
                      "WWW" => array:1 [
                        "link" => "https&#58;&#47;&#47;doi&#46;org&#47;10&#46;1002&#47;cncy&#46;20111"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "History of Thyroid Cytology in Japan and Reporting System Recommended by the Japan Thyroid Association"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => """
                              K Kakudo \n
                              \t\t\t\t\t\t\t\t
                              """
                            1 => """
                              K Kameyama \n
                              \t\t\t\t\t\t\t\t
                              """
                            2 => """
                              A Miyauchi \n
                              \t\t\t\t\t\t\t\t
                              """
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Basic Clin Med"
                        "fecha" => "2013"
                        "volumen" => "2"
                        "numero" => "2"
                        "paginaInicial" => "10"
                        "paginaFinal" => "15"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/18075932/000000760000000C/v1_202211191031/S1807593222001806/v1_202211191031/en/main.assets"
  "Apartado" => null
  "PDF" => "https://static.elsevier.es/multimedia/18075932/000000760000000C/v1_202211191031/S1807593222001806/v1_202211191031/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1807593222001806?idApp=UINPBA00004N"
]
Article information
ISSN: 18075932
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 4 2 6
2024 October 20 22 42
2024 September 19 26 45
2024 August 20 23 43
2024 July 15 16 31
2024 June 9 16 25
2024 May 23 15 38
2024 April 24 20 44
2024 March 10 15 25
2024 February 13 17 30
2024 January 10 18 28
2023 December 9 21 30
2023 November 18 25 43
2023 October 19 33 52
2023 September 15 26 41
2023 August 17 10 27
2023 July 17 22 39
2023 June 14 4 18
2023 May 30 1 31
2023 April 22 1 23
2023 March 19 2 21
2023 February 15 1 16
2023 January 3 8 11
2022 December 6 0 6
2022 November 5 4 9
Show all

Follow this link to access the full text of the article

es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos