Comparative Study of May-Grunwald Giemsa-stained Hemorrhagic Thyroid Aspirates with Turk\'s Fluid-treated Hemorrhagic Thyroid Aspirates to Improve the Quality of Fine Needle Aspiration Smears

ARTICLEof diagnostic material in the clot or hemorrhage.In such cases, ultrasound-guided repeat FNAC is performed.Repeat FNACs are time-consuming, not cost-effective, and require the patient to undergo multiple needle insertions. 5he percentage of inadequate or unsatisfactory smears ranges from 2 to 21% in thyroid aspirates. 4Diluting fluids are used to increase diagnostic efficacy in many studies, one of which is Turk's IntroductIonFine needle aspiration cytology (FNAC) is a simple, rapid, costeffective diagnostic test for the investigation of palpable lumps and swellings.FNAC is useful in differentiating benign lesions from malignant lesions.This test can also help in diagnosing metastatic lesions and recurrent lesions. 1 However, hemorrhagic fine needle aspirates pose problems in diagnosis.The diagnostic efficacy is reduced by the blood obscuring the diagnostic material, which prolongs the screening time and makes the diagnosis a challenging task. 2 Fine needle aspiration cytology is helpful in the accurate diagnosis of thyroid lesions.Since the thyroid is a very vascular organ, rapid smearing following needling is required as the thyroid follicular cells will get trapped in the blood clot, and morphological alterations of thyroid follicular cells will occur. 3Adequacy for thyroid cytology smears includes at least 5-6 groups of thyroid follicular cells, with each group having 10 well-visualized and well-preserved thyroid follicular cells. 4ccording to the Bethesda system for reporting thyroid cytology, thyroid FNA smears are considered inadequate or unsatisfactory if they have low cellularity or if there is entrapment