Diagnostic Utility of Thyroseq as a Thyroid Molecular Test

👉The primary application of ThyroSeq is to provide accurate cancer diagnosis in thyroid nodules with indeterminate FNA cytology

👉Indeterminate FNA cytology encompasses diagnostic categories III, IV, and V of the Bethesda System for Reporting Thyroid Cytopathology

👉Uncertain and variable risk of cancer in these nodules hampers clinical management of these patients

👉ThyroSeq stratifies thyroid nodules with indeterminate cytology into those that are most likely benign and can frequently be followed by observation and those that have a high probability of being cancer or pre-cancer, which in most cases need surgical management

👉ThyroSeq Clinical Validation Study Overview

  • Reported in the premiere medical journal – JAMA Oncology (Steward, DL et al. JAMA Oncol. 2018.
  • Largest prospective double-blind multicenter study of any commercially available molecular test
  • Highest NPV (97%) and PPV (66%) among well validated tests
  • Highest reduction in diagnostic surgery:
    • Allowing avoidance of surgery for up to:
      • 61% of all Bethesda III / IV nodules
      • 82% of indeterminate nodules with benign pathology
  • Reliable detection of all types of thyroid tumors including Oncocytic cell cancer
  • Reports probability of cancer and predicted risk of cancer recurrence, empowering individualized patient management
#Arrangoiz #ThyroidSurgeon #CancerSurgeon #HeadandNeckSurgeon #SurgicalOncologist #MountSinaiMedicalCenter #MSMC #Miami #Mexico