Multinodular goiter of the thyroid mimicking malignancy: Diagnostic pitfalls in fine-needle aspiration biopsy

1993 ◽  
Vol 9 (3) ◽  
pp. 351-357 ◽  
Author(s):  
Russell M. Fiorella ◽  
William Isley ◽  
Leslie K. Miller ◽  
Peter J. Kragel
Keyword(s):  
Fine Needle Aspiration ◽  
Multinodular Goiter ◽  
Fine Needle Aspiration Biopsy ◽  
Needle Aspiration ◽  
Aspiration Biopsy ◽  
Fine Needle ◽  
Needle Aspiration Biopsy ◽  
Diagnostic Pitfalls

Diagnostic pitfalls in fine-needle aspiration biopsy of the mediastinum

1997 ◽  
Vol 17 (2) ◽  
pp. 121-126 ◽  
Author(s):  
Harsharan K. Singh ◽  
Jan F. Silverman ◽  
Celeste N. Powers ◽  
Kim R. Geisinger ◽  
William J. Frable
Keyword(s):  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Biopsy ◽  
Needle Aspiration ◽  
Aspiration Biopsy ◽  
Fine Needle ◽  
Needle Aspiration Biopsy ◽  
Diagnostic Pitfalls

Diagnostic pitfalls in fine needle aspiration biopsy of the spleen

2008 ◽  
Vol 36 (2) ◽  
pp. 69-75 ◽  
Author(s):  
Maria A. Friedlander ◽  
Xiao-Jun Wei ◽  
Pratibha Iyengar ◽  
Andre L. Moreira
Keyword(s):  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Biopsy ◽  
Needle Aspiration ◽  
Aspiration Biopsy ◽  
Fine Needle ◽  
Needle Aspiration Biopsy ◽  
Diagnostic Pitfalls

scholarly journals Approach to the Patient with Nontoxic Multinodular Goiter

2011 ◽  
Vol 96 (5) ◽  
pp. 1202-1212 ◽  
Author(s):  
Rebecca S. Bahn ◽  
M. Regina Castro
Keyword(s):  
Fine Needle Aspiration ◽  
Multinodular Goiter ◽  
Fine Needle Aspiration Biopsy ◽  
Needle Aspiration ◽  
Aspiration Biopsy ◽  
Biological Behavior ◽  
Fine Needle ◽  
Asymptomatic Patients ◽  
Needle Aspiration Biopsy ◽  
Serum Tsh

Thyroid nodules are very common, and although the majority are benign, approximately 5% may harbor malignancy. The evaluation of the patient with solitary thyroid nodule is generally straightforward and will typically include measurement of serum TSH to assess thyroid function and fine-needle aspiration biopsy of the nodule, with or without ultrasound (US) guidance. The approach to the patient with nontoxic multinodular goiter represents a more difficult problem for the clinician. All patients should have serum TSH measured to assess functional thyroid status and US examination to evaluate the number, size, and sonographic features of the nodules and assist in the selection of nodules that may need fine-needle aspiration biopsy. Patients with nodules yielding malignant cytology should be referred for surgery. Given the lack of reliable markers to predict biological behavior of nodules with suspicious (indeterminate) cytology, patients with such nodules are generally advised to have surgery, unless autonomous function of these nodules can be confirmed by scintigraphy. Most of these patients, however, will ultimately prove to have benign follicular tumors. Many patients with benign but large goiters may experience clinical symptoms of pressure, such as dysphagia, choking sensation, or airway obstruction. Such patients will often require surgery for alleviation of symptoms. In the absence of malignancy, asymptomatic patients may be observed. Radioactive iodine, commonly used in many parts of Europe, is safe and effective and may be a reasonable option for many patients. Periodic follow-up with neck palpation and US exam is recommended for all patients.

Sign in / Sign up

Export Citation Format

Share Document