<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0138-6557</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina Militar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. cuban. med. mil.]]></abbrev-journal-title>
<issn>0138-6557</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0138-65572024000200009</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Valor diagnóstico de la citología por aspiración con aguja fina en lesiones nodulares de tiroides]]></article-title>
<article-title xml:lang="en"><![CDATA[Diagnostic value of fine needle aspiration cytology in nodular thyroid lesions]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Urbano Ale]]></surname>
<given-names><![CDATA[Erick Joffre]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Núñez Vergara]]></surname>
<given-names><![CDATA[Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Flores Rodríguez]]></surname>
<given-names><![CDATA[Marlene]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chilca Alva]]></surname>
<given-names><![CDATA[Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional Mayor de San Marcos Facultad de Medicina ]]></institution>
<addr-line><![CDATA[ Lima]]></addr-line>
<country>Peru</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Nacional Hipólito Unánue  ]]></institution>
<addr-line><![CDATA[ Lima]]></addr-line>
<country>Perú</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Lima  ]]></institution>
<addr-line><![CDATA[ Lima]]></addr-line>
<country>Peru</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<volume>53</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0138-65572024000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0138-65572024000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0138-65572024000200009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: El estudio citológico por punción ecoguiada es rápido, confiable, mínimamente invasivo y beneficioso. Permite reducir procedimientos quirúrgicos innecesarios y clasifica a los pacientes con nódulos benignos o malignos para una intervención quirúrgica oportuna.  Objetivo: Evaluar la utilidad diagnóstica, para enfermedad nodular, de la punción con aguja fina.  Métodos: Estudio observacional, analítico y de corte transversal, basado en el análisis de los resultados de punción aspiración con aguja fina preoperatoria de pacientes sometidos a cirugía tiroidea en el Hospital Hipólito Unánue entre enero 2016 - diciembre 2019.  Resultados: 105 pacientes cumplieron con los criterios de inclusión, de los cuales el 95 % (n= 100) fueron de sexo femenino. El rango de edad estuvo entre 13 y 82 años. Del total de pacientes en 64 la citología fue informada como benigna y en 19 como maligna. El diagnóstico citológico mostró una sensibilidad de un 60 %, especificidad de un 98,1 %, y valores predictivos positivo del 94,7 % y negativo del 81,3 %. La precisión de la prueba diagnóstica de citología fue de un 84,3 % (intervalo de confianza de 95 %: 74,7-91,4).  Conclusión: La punción aspiración con aguja fina permite un diagnóstico simple, mínimamente invasivo, seguro y rentable, para lesiones tiroideas, con una alta especificidad y precisión. Sin embargo, debido a las posibilidades de resultados falsos negativos encontrados en este estudio, se recomienda que incluso los pacientes con hallazgos citológicos benignos sean sometidos a seguimiento clínico regular.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background: Ultrasound-guided fine-needle aspiration cytology is fast, reliable, minimally invasive, and beneficial. It reduces unnecessary surgical procedures and classifies patients with benign or malignant nodules for timely surgical intervention.  Objective:  To evaluate the diagnostic utility, for nodular disease, of the ultrasound-guided fine-needle aspiration cytology.  Methods: An observational, analytical and cross-sectional study was carried out based on the analysis of the results of preoperative fine-needle aspiration cytology of patients who underwent thyroid surgery between January 2016 and December 2019.  Results:  105 patients fulfilled the inclusion criteria, of which 95% (n= 100) were women, and 5% (n= 5) were men. The age range was between 13 and 82 years. Of the total stitches, 64 were reported as benign and 19 as malignant. A sensitivity of 60% and a specificity of 98.1%, positive predictive value of 94.7%, and negative predictive value of 81.3% were calculated. The diagnostic accuracy of fine-needle aspiration cytology is 0.8434, with a 95% confidence interval of (74.7%-91.4%).  Conclusion:  Fine-needle aspiration cytology allows a simple, minimally invasive, safe, and cost-effective diagnosis of thyroid lesions with high specificity and precision. However, due to the possibility of false-negative results, it is recommended that even patients with benign cytological findings be maintained in regular clinical follow-up.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[biopsia con aguja fina]]></kwd>
<kwd lng="es"><![CDATA[citología]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico]]></kwd>
<kwd lng="es"><![CDATA[nódulo tiroideo]]></kwd>
<kwd lng="es"><![CDATA[sensibilidad y especificidad]]></kwd>
<kwd lng="es"><![CDATA[valor predictivo de las pruebas]]></kwd>
<kwd lng="en"><![CDATA[cytology]]></kwd>
<kwd lng="en"><![CDATA[diagnosis]]></kwd>
<kwd lng="en"><![CDATA[fine needle biopsy]]></kwd>
<kwd lng="en"><![CDATA[predictive value of the tests]]></kwd>
<kwd lng="en"><![CDATA[sensitivity and specificity]]></kwd>
<kwd lng="en"><![CDATA[thyroid nodule]]></kwd>
</kwd-group>
</article-meta>
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