alexa Fine-needle aspiration biopsy of the thyroid. The problem of suspicious cytologic findings.
Diabetes & Endocrinology

Diabetes & Endocrinology

Journal of Thyroid Disorders & Therapy

Author(s): Gharib H, Goellner JR, Zinsmeister AR, Grant CS, Van Heerden JA, Gharib H, Goellner JR, Zinsmeister AR, Grant CS, Van Heerden JA

Abstract Share this page

Abstract Cases in which thyroid nodules yielded suspicious cytologic findings on fine-needle aspiration biopsy were prospectively studied during a 3-year period. Of 1970 patients, 333 (17\%) had suspicious cytologic findings; from this group, the cases of 253 patients were studied. The cytologic diagnoses were 96 (38\%) H urthle cell neoplasms, 84 (33\%) follicular cell neoplasms, and 73 (29\%) nonspecific diagnoses. A thyroid scan was obtained in 123 of 203 (61\%) patients with a solitary nodule, and the nodules were hypofunctional in 102 (83\%). Malignant lesions were found in 60 (24\%) of the 253 patients. Our findings are consistent with reports that 20\% of patients who have a fine-needle aspiration biopsy will have suspicious cytologic findings and that of these, 20\% may have a malignant lesion. Thyroid scanning will not distinguish between benign and malignant thyroid lesions that are suspicious on cytologic examination. Surgical excision of all suspicious lesions seems reasonable.
This article was published in Ann Intern Med and referenced in Journal of Thyroid Disorders & Therapy

Relevant Expert PPTs

Relevant Speaker PPTs

Relevant Topics

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords