Thyroid Nodules: Rational Management

Christopher K.M. Wong; Malcolm H. Wheeler

doi:10.1007/s002680010175

journal article Aug 01, 2000

Thyroid Nodules: Rational Management

Christopher K.M. Wong Malcolm H. Wheeler

Molecular Medicine Vol. 24 No. 8 pp. 934-941 · Springer Science and Business Media LLC

View at Publisher Save 10.1007/s002680010175

Abstract

AbstractThyroid nodules are the commonest disorder presenting to the endocrine surgeon. Most of the lesions are benign, but the principal problem facing the clinician is that of identifying the malignant nodule requiring surgery. Current diagnostic methods are reviewed, and the role of intraoperative frozen section in particular is examined in a series of 155 patients undergoing thyroidectomy for solitary thyroid nodule. It is concluded that when the fine‐needle aspiration cytology (FNA) result is malignant intraoperative frozen section is unnecessary and contributes little to the management. Frozen section, however, is considered to be of value when the FNA result is reported as benign, suspicious, or inadequate. It permits identification of many malignant lesions that would otherwise require a second operation to complete a total thyroidectomy. Details of the indications for surgery and the operative strategy are discussed.

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Details

Published: Aug 01, 2000
Vol/Issue: 24(8)
Pages: 934-941
License: View

Authors

C

Christopher K.M. Wong

Department of Endocrine Surgery University Hospital of Wales Heath Park, Cardiff, Wales UK CF4 4XW

M

Malcolm H. Wheeler

Department of Endocrine Surgery University Hospital of Wales Heath Park, Cardiff, Wales UK CF4 4XW

Cite This Article

Christopher K.M. Wong, Malcolm H. Wheeler (2000). Thyroid Nodules: Rational Management. Molecular Medicine, 24(8), 934-941. https://doi.org/10.1007/s002680010175

Thyroid Nodules: Rational Management

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