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Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: PURPOSE, METHODS, RESULTS. Meshes: Aged, Airway Obstruction, Biopsy, Fine-Needle, Diagnostic Tests, Routine, Emergencies, Female, Hematoma, Humans, Immunohistochemistry, Italy, Neck, Preoperative Care, Respiratory Insufficiency, Risk Assessment, Safety Management, Sampling Studies, Thyroid Nodule, Thyroidectomy, Tomography, X-Ray Computed, Treatment Outcome.
user
Is fine-needle aspiration cytology for thyroid nodules a routine and safe procedure? Context: Fine-needle aspiration cytology (FNAC) is a widely used diagnostic tool to assess thyroid lesions, with a low morbidity rate. Although neck hematomas following FNAC are reported, only four cases of massive hemorrage resulting in acute airways obstruction have been previously described. We report a series of three emergency cervicotomies for a massive neck hematoma causing acute respiratory distress after a thyroid FNAC. Endotracheal intubation followed by decompressive cervicotomy and surgical neck exploration was made in all patients. Two patients underwent isthmectomy, while a left thyroid lobectomy plus left lateral neck lymphadenectomy was performed in the third case. Extubation was achieved within 12 h in the ICU. All patients were discharged uneventfully within 72 h.
assistant
Acute thyroid hemorrage is a very rare but possible complication of FNAC, potentially fatal for the patient. Prompt evaluation and intervention is mandatory for patients with rapidly evolving symptoms.