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Table 4 Specific Tg-FNA levels of 12 lymph nodes missed by FNAC

From: Influence of presence/absence of thyroid gland on the cutoff value for thyroglobulin in lymph-node aspiration to detect metastatic papillary thyroid carcinoma

No.

Thyroid condition

Lymph-node

characteristics

Cytological diagnosis

Tg-FNA (ng/mL)

Final diagnosis

1

Partial ablation

Cystic

Atypical cells

>500

Metastatic PTC

2

Partial ablation

Cystic

Atypical cells

>500

Metastatic PTC

3

Partial ablation

Cystic

Atypical cells

>500

Metastatic PTC

4

Before surgery

Cystic

Atypical cells

259.6

Metastatic PTC

5

Before surgery

Cystic

Histocytes

>500

Metastatic PTC

6

Before surgery

Cystic

Histocytes

>500

Metastatic PTC

7

Total ablation

Cystic

Histocytes

>500

Metastatic PTC

8

Before surgery

Cystic

Histocytes

166.5

Metastatic PTC

9

Total ablation

Cystic

Histocytes

0.642

Metastatic carcinoma (squamous carcinoma + a small amount of PTC)

10

Total ablation

Solid

Lymphocytes

12.80

Metastatic PTC

11

Total ablation

Solid

Lymphocytes

20.12

Metastatic PTC

12

Partial ablation

Solid

Atypical cells

447.40

Metastatic PTC

  1. Optimal cut-off value for Tg-FNA is 55.99 ng/mL for patients with thyroids and 9.71 ng/mL for patients without thyroids