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Diagnostic studies of thyroid cancer
Author(s) -
Rosen Irving B.
Publication year - 1981
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.2930160307
Subject(s) - medicine , thyroid cancer , thyroid , goiter , fine needle aspiration cytology , cancer , general surgery , fine needle aspiration , ultrasonography , disease , thyroidectomy , surgery , radiology , cytology , pathology , biopsy
Patient with goiter usually has benign disease. While investigation is important, clinical factors weigh heavily in the diagnosis of cancer. Aside from serum calcitonin and CEA, biochemical findings are of little help. Radioisotope scanning is of fundamental importance and has an implication in histology. Ultrasonography has a diminishing role although its use has led to the widespread acceptance of needle aspiration. Needle aspiration cytology is now the most important maneuver in preoperative assessment and management of the goiter patient. Its results permit refined operative selection, the institution of safe conservative management, and greater organization in surgical treatment. Persistent cooperation between clinician and pathologist can yield a high rate of reliable preoperative cytological diagnosis obtained by needle aspiration.