Minimum minimorum: thyroid minimally invasive FNA, less is more concept? Volens nolens?

A Deucalione, diagnosis for the crucial endocrine organ, the thyroid, remains significant to date. Bonitas non est pessimis esse meliorem. Furthermore, the butterfly-shaped gland, being necessitated a delicate deal, is apparent¹–³. In thyroidology, image-guided interventional techniques have globally been noticed and increasingly harnessed over the past four decades⁴. Bene diagnoscitur, bene curatur. Having said that, a dynamic discipline, thyroid cytopathology, still harbors a highly controversial issue, id est, indeterminate cytology, resulting in an ongoing debate⁴–¹¹. Despite the roles of sonography and fine-needle aspiration (FNA) are well-established globally for contributing to rule out blurred lines⁵–⁸ in the diagnosis of thyroid nodules, to the best of our knowledge, the ideal needle size has not been stated in a released, well-accepted management guideline to date¹–³,¹²–¹⁶. However, the adequacy of the finer and thicker needles has been proclaimed as similar by many authors¹³, though the latter has unfortunately been utilized frequently. We have reported an FNA serial of “non Deucalione, sed, a decennium” by the surgeon-performed ultrasonography (SUS) with the 27-G needles with a reasonable rate of nondiagnostic cytology. Will it be evaluated and accepted as “less is more concept”? Volens nolens? We had utilized the additional administration of preprocedural topical and local anesthesia in SUS-based serial during this decade and, ad hoc, have currently presented and recommended a novel term, “Thyroid minimally invasive FNA” (Thy MIFNA)¹–³,¹¹, contributing in thyroidology. Minimum minimorum? Adequatio intellectus et rei? Dum vivimus servimus.

• Funding: none.

ACKNOWLEDGMENTS

The authors thank all the participants of this article.

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Publication Dates

• Publication in this collection
  15 Apr 2022
• Date of issue
  Mar 2022

History

• Received
  20 Nov 2021
• Accepted
  24 Nov 2021