Evaluación de nódulos tiroideos con interpretación citológica rápida en el sitio (ROSE)

  • Laura Joanna Tapia-Vela Laboratorio Clínico Hematológico
  • Lina Restrepo-Giraldo Laboratorio Clínico Hematológico
Palabras clave: biopsia por aspiración con aguja fina, nódulo tiroideo, muestra, evaluación, patología, diagnóstico.

Resumen

La aspiración con aguja fina (ACAF) es una técnica ampliamente utilizada por su alta seguridad y fácil uso. Sin embargo, al usarse en conjunto con la evaluación rápida de la muestra en el sitio de la toma (ROSE, del inglés, Rapid On-Site Evaluation), disminuyen los tiempos necesarios para la evaluación y el diagnóstico, mejora la calidad de la muestra, disminuye el número de punciones por procedimiento y limita la necesidad de repetir la prueba, lo que hace que el uso combinado de ambas técnicas sea de gran utilidad y cada vez más solicitado en los servicios de imágenes diagnósticas y patología. ROSE, además, permite una clasificación adecuada del material recolectado para cultivos, estudios de citometría de flujo y pruebas moleculares. Particularmente, en los pacientes con nódulos tiroideos, la realización de ROSE durante el procedimiento de evaluación ecográfica y punción, puede garantizar que la muestra extraída sea suficiente y adecuada para el diagnóstico, y, así mismo, permite evaluar la necesidad de estudios complementariosde manera inmediata, brindando un diagnóstico rápido y preciso, disminuyendo los costos relacionados con la repetición del procedimiento y la morbilidad asociada a complicaciones por punciones múltiples.

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Biografía del autor/a

Laura Joanna Tapia-Vela, Laboratorio Clínico Hematológico

Médica, Especialista en Patología. Jefe de Patología Anatómica, Laboratorio Clínico Hematológico. Medellín, Colombia.

Lina Restrepo-Giraldo, Laboratorio Clínico Hematológico

Médica, Especialista en Medicina Interna, Especialista en Endocrinología Clínica y Metabolismo, MSc en Oncología. Jefe de Enlace Clínico, Laboratorio Clínico Hematológico. Medellín, Colombia.

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Cómo citar
1.
Tapia-Vela LJ, Restrepo-Giraldo L. Evaluación de nódulos tiroideos con interpretación citológica rápida en el sitio (ROSE). Med. Lab. [Internet]. 8 de julio de 2021 [citado 1 de agosto de 2021];25(3):581-9. Disponible en: https://medicinaylaboratorio.com/index.php/myl/article/view/450
Publicado
2021-07-08
Sección
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