<?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>2307-0420</journal-id>
<journal-title><![CDATA[Cirugía paraguaya]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Cir. Parag.]]></abbrev-journal-title>
<issn>2307-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-04202018000100024</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2018.abril.24-27</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[PUNCIÓN ASPIRACIÓN CON AGUJA FINA (PAAF) EN CLASIFICACIÓN DE NÓDULOS TIROIDEOS]]></article-title>
<article-title xml:lang="en"><![CDATA[FINE NEEDLE ASPIRATION (FNA) TO CLASIFY THYROID NODULES]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Legal Balmaceda]]></surname>
<given-names><![CDATA[Evelio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sosa Ramírez]]></surname>
<given-names><![CDATA[Cinthia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2018</year>
</pub-date>
<volume>42</volume>
<numero>1</numero>
<fpage>24</fpage>
<lpage>27</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202018000100024&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202018000100024&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202018000100024&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  OBJETIVO:  Describir resultados de la PAAF en el diagnóstico etiológico de los nódulos tiroideos.  PACIENTES Y MÉTODOS:  Estudio observacional, retrospectivo de pacientes con bocio que consultaron entre enero de 2006 y diciembre de 2013.  RESULTADOS:  42 pacientes estudiados, 33 (86%) mujeres y 6 (14%) hombres, entre 18 y 72 años (promedio43,65 años). Diagnóstico mediante PAAF: 8 (19%) BETHESDA I, 24 (57%) BETHESDA II, 9 (22%) BETHESDA III, 1 (2%) BETHESDA VI. Las categorías IV y V no se presentaron. Resultados anatomopatológicos: 22 (52%) Bocio Coloide Multinodular, 5 (12%) tiroiditis de Hashimoto, 4 (10%) adenoma folicular, 4 (10%) bocio coloide nodular, 4 (10%) Carcinoma Papilar, 1 (2%) carcinoma de células de Hurthle, 1 (2%) Bocio multinodular quístico, 1 (2%) carcinoma folicular. Las punciones BETHESDA I, 100% (8 casos) fueron benignos. BETHESDA II, 95% (23 DE 24)benignos, 5% (1) correspondió a un carcinoma folicular. BETHESDA III, 55% (5) benignos y 45% (4) malignos (3 carcinomas papilares y 1 carcinoma de células de Hurthle).BETHESDA VI, 100% (1 caso) carcinoma papilar.  CONCLUSIÓN:  La PAAF es útil para estudiar neoplasias nodulares tiroideas. Presenta poca dificultad técnica, bajo costo y es mínimamente invasiva.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  OBJECTIVE:  To describe FNA results in the etiological diagnosis of thyroid nodules.  PATIENTS AND METHODS:  Observational, retrospective study of patients with goiter who consulted between January 2006 and December 2013.  RESULTS:  42 patients studied, 33 (86%) women and 6 (14%) men, between 18 and 72 years (average 43.65 years). Diagnosis by FNAP: 8 (19%) BETHESDA I, 24 (57%) BETHESDA II, 9 (22%) BETHESDA III, 1 (2%) BETHESDA VI. Categories IV and V were not submitted. Pathological results: 22 (52%) Multinodular colloid goiter, 5 (12%) Hashimoto's thyroiditis, 4 (10%) follicular adenoma, 4 (10%) nodular colloid goitre, 4 (10%) Papillary carcinoma, 1 (2%) ) Hurthle cell carcinoma, 1 (2%) cystic multinodular goiter, 1 (2%) follicular carcinoma. BETHESDA I punctures, 100% (8 cases) were benign. BETHESDA II, 95% (23 OF 24) benign, 5% (1) corresponded to a follicular carcinoma. BETHESDA III, 55% (5) benign and 45% (4) malignant (3 papillary carcinomas and 1 Hurthle cell carcinoma). BETHESDA VI, 100% (1 case) papillary carcinoma.  CONCLUSION:  FNAB is useful to study nodular nodular neoplasms. It presents little technical difficulty, low cost and is minimally invasive.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[PAAF]]></kwd>
<kwd lng="es"><![CDATA[tiroides]]></kwd>
<kwd lng="es"><![CDATA[Bethesda.]]></kwd>
<kwd lng="en"><![CDATA[FNAB]]></kwd>
<kwd lng="en"><![CDATA[thyroid]]></kwd>
<kwd lng="en"><![CDATA[Bethesda]]></kwd>
</kwd-group>
</article-meta>
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