Surgery
Volume 144, Issue 6 , Pages 963-969 , December 2008

Reliability of benign fine needle aspiration cytology of large thyroid nodules

  • John R. Porterfield Jr., MD

      Affiliations

    • Division of Gastroenterologic and General Surgery, Mayo Clinic, Mayo Graduate School of Medicine, Rochester, Minn
    • Corresponding Author InformationReprint requests: John R. Porterfield Jr, MD, Department of Surgery, University of Alabama at Birmingham, 1530 3rd Avenue South, Birmingham, AL 35294.
    • Affiliation at time of research.
  • ,
  • Clive S. Grant, MD

      Affiliations

    • Division of Gastroenterologic and General Surgery, Mayo Clinic, Mayo Graduate School of Medicine, Rochester, Minn
  • ,
  • Diana S. Dean, MD

      Affiliations

    • Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic, Mayo Graduate School of Medicine, Rochester, Minn
  • ,
  • Geoffrey B. Thompson, MD

      Affiliations

    • Division of Gastroenterologic and General Surgery, Mayo Clinic, Mayo Graduate School of Medicine, Rochester, Minn
  • ,
  • David R. Farley, MD

      Affiliations

    • Division of Gastroenterologic and General Surgery, Mayo Clinic, Mayo Graduate School of Medicine, Rochester, Minn
  • ,
  • Melanie L. Richards, MD

      Affiliations

    • Division of Gastroenterologic and General Surgery, Mayo Clinic, Mayo Graduate School of Medicine, Rochester, Minn
  • ,
  • Carl C. Reading, MD

      Affiliations

    • Division of Radiology, Mayo Clinic, Mayo Graduate School of Medicine, Rochester, Minn
  • ,
  • J. William Charboneau, MD

      Affiliations

    • Division of Radiology, Mayo Clinic, Mayo Graduate School of Medicine, Rochester, Minn
  • ,
  • Brenda K. Vollrath, RN

      Affiliations

    • Division of Gastroenterologic and General Surgery, Mayo Clinic, Mayo Graduate School of Medicine, Rochester, Minn
  • ,
  • Thomas J. Sebo, MD

      Affiliations

    • Division of Anatomic Pathology, Mayo Clinic, Mayo Graduate School of Medicine, Rochester, Minn

,Accepted 23 September 2008.

References 

  1. Vander J, Gaston E, Dawber T. The significance of non-toxic thyroid nodules. Final report of a 15-year study of the incidence of thyroid malignancy. Ann Intern Med. 1968;69:537–540
  2. Mortensen JD, Bennett WA, Woolner LB. Incidence of carcinoma in thyroid glands removed at 1000 consecutive routine necropsies: 40th Am Coll Surgeons Clin Cong. Proceedings Surgical Forum. 1954;5:659–663
  3. Horlocker TT, Hay ID, James EM, Reading CC, Charboneau JW. Prevalence of incidental nodular thyroid disease detected during high-resolution parathyroid ultrasonography. In:  Medeiros-Neto G,  Gaitan E editor. Frontiers of thyroidology. 2nd ed.. New York: Plenum Press; 1986;p. 1309–1312
  4. Lowhagen T, Willems J-S, Lundell G, Sundblad R, Granberg P-O. Aspiration biopsy cytology in diagnosis of thyroid cancer. World J Surg. 1981;5:61–73
  5. American Thyroid Association guidelines taskforce: Management guidelines for patients with thyroid nodules and differentiated thyroid cancer. Thyroid. 2006;16:1–33
  6. Thyroid Carcinoma Task Force . AACE/AAES medical/surgical guidelines for clinical practice: management of thyroid carcinoma: American Association of Clinical Endocrinologists: American College of Endocrinology. Endocr Pract. 2001;7:203–220
  7. Frates M, Benson C, Charboneau J, Cibas E, Clark O, Coleman B, et al. Management of thyroid nodules detected at US: Society of Radiologists in Ultrasound consensus conference statement. Radiology. 2005;237:794–800
  8. Tee Y, Lowe A, Brand C, Judson R. Fine-needle aspiration may miss a third of all malignancy in palpable thyroid nodules: a comprehensive literature review. Ann Surg. 2007;246:714–720
  9. Grant CS, Hay ID, Gough IR, McCarthy PM, Goellner JR. Long-term follow-up of patients with benign thyroid fine-needle aspiration cytologic diagnoses. Surgery. 1989;106:980–986
  10. McCoy K, Jabbour N, Ogilvie J, Ohori N, Carty S, Yim J. The incidence of cancer and rate of false-negative cytology in thyroid nodules greater than or equal to 4 cm in size. Surgery. 2007;142:837–844
  11. Gharib H, Goellner J. Fine-needle aspiration biopsy of the thyroid: an appraisal. Anns Intern Med. 1993;118:282–289
  12. Hegedus L. The thyroid nodule. N Engl J Med. 2004;351:1764–1771
  13. Leenhardt L, Grosclaude P, Cherie-Challine L. Increased incidence of thyroid carcinoma in France: a true epidemic or thyroid nodule management effects? Report from the French Thyroid Cancer Committee. Thyroid. 2004;14:1056–1060
  14. Davies L, Welch H. Increasing incidence of thyroid cancer in the United States, 1973-2002. JAMA. 2006;295:2164–2167
  15. Ashcraft M, Van Herle A. Management of thyroid nodules. II: Scanning techniques, thyroid suppressive therapy, and fine needle aspiration. Head Neck Surg. 1981;3:297–322
  16. Delbridge L. Solitary thyroid nodule: current management. ANZ J Surg. 2006;76:381–386
  17. Nikiforova M, Nikiforov Y. Molecular genetics of thyroid cancer: implications for diagnosis, treatment and prognosis. Expert Rev Mol Diagn. 2008;8:83–95

 Presented at the 29th Annual Meeting of the American Association of Endocrine Surgeons, Monterey, California, April 6–8, 2008.

PII: S0039-6060(08)00592-8

doi: 10.1016/j.surg.2008.09.006

Surgery
Volume 144, Issue 6 , Pages 963-969 , December 2008