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ASPIRATION CYTOLOGY AND ULTRASONOGRAPHY OF COLD THYROID NODULES
Author(s) -
McLaughlin S. J.,
Gray J. G.,
Marshall T.
Publication year - 1986
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1986.tb06158.x
Subject(s) - medicine , thyroid nodules , malignancy , cytology , thyroid , biopsy , radiology , thyroidectomy , fine needle aspiration , ultrasonography , aspiration biopsy , fine needle aspiration cytology , pathology
Over an 18 month period, 50 ‘high risk’ patients with solitary or dominant cold thyroid nodules on 99m Tc‐pertechnetate scanning, have undergone fine needle aspiration biopsy cytology (ABC) under general anaesthetic prior to thyroidectomy. Histological malignancy was confirmed in only four patients (8%). Cytological malignancy was suspected or confirmed in six patients, each having a false positive rate of 4%. There were no false negative reports. Ultrasonography, performed pre‐operatively in 37 of the patients, did not significantly add to the overall patient management. ABC appears to be safe, simple and sufficiently accurate to incorporate its use routinely in the pre‐operative assessment of thyroid nodules.