Controversies in Management of Thyroid Nodule

1995 ◽  
Vol 112 (5) ◽  
pp. P77-P78
Author(s):  
Ashok R. Shaha
Keyword(s):  
Thyroid Nodule ◽  
Total Thyroidectomy ◽  
Radioactive Iodine ◽  
Diagnostic Workup ◽  
Educational Objectives ◽  
Solitary Thyroid Nodule

Educational objectives: To become familiar with the diagnostic workup of a patient presenting with solitary thyroid nodule and to discuss the current controversies related to the treatment, including total versus less than total thyroidectomy and role of postoperative radioactive iodine.

scholarly journals FNAC IN THE MANAGEMENT OF SOLITARY THYROID NODULE

2006 ◽  
Vol 13 (04) ◽  
pp. 596-603
Author(s):  
SOHAIL RAZA ◽  
HAMAD RAZA ◽  
ZAHID SAEED ◽  
Mubasher Ahmed
Keyword(s):  
Thyroid Nodule ◽  
Thyroid Nodules ◽  
Fine Needle Aspiration Biopsy ◽  
Cost Effective ◽  
Needle Aspiration ◽  
Military Hospital ◽  
Solitary Thyroid Nodule ◽  
Benign Nodules ◽  
Histopathological Results

Objective: To determine the significant role of FNAC upon other diagnosticmodalities in pre-operative investigations of patients presenting with solitary thyroid nodules and to compare the postoperative histopathological results with the results of FNAC. Design: A Comparative study. Place and Duration ofStudy: Department of Surgery Combined Military Hospital Quetta and Combined Military Hospital Rawalpindi fromDecember 1999 to December 2001. Patients and Methods: In this study 46 patients with solitary thyroid nodule werestudied. Only 2 patients were toxic while remaining 44 were with euthyroid. In this study only one case was suspectedto be malignant clinically out of 5 malignant cases. All 46 patients under went thyroid scanning, ultrasound examinationand fine needle aspiration biopsy and the diagnostic accuracy was assessed. Results: 36 patients (78.26%) wereoperated while 10(21.73%) were managed conservatively. There were 5(10.86%) malignant nodules while 41(89.13%)were benign. All the 5 cases with malignancy were with ‘cold’ nodules on scan as most of others, while ‘solid’ onultrasound examination and so were most of other benign nodules. All cases diagnosed malignant pre-operatively onFNAC, proved to be malignant on histopathology after surgery and the others diagnosed as benign on FNAC provedto be benign. Conclusion: This study shows that conventional investigations for evaluation of solitary thyroid nodulesare inaccurate in identifying the malignant from the benign nodules and their routine use in such patients should beabandoned, while the use of FNAC should be encouraged more in our hospitals as this technique is with high degreeof sensitivity and specificity, cost effective and safe.

scholarly journals Rational diagnosis and surgical management of thyroid nodule

2003 ◽  
Vol 50 (3) ◽  
pp. 37-42 ◽  
Author(s):  
Ivan Paunovic ◽  
Aleksandar Diklic ◽  
Ksenija Krgovic ◽  
Vladan Zivaljevic ◽  
Svetislav Tatic ◽  
...  
Keyword(s):  
Thyroid Nodule ◽  
Surgical Management ◽  
Diagnostic Procedures ◽  
Diagnostic Workup ◽  
Endocrine Surgery ◽  
Rational Diagnosis ◽  
Solitary Thyroid Nodule

Few subjects in endocrine surgery have generated as much contraversy as the management of thyroid nodule. The contraversial issues include evaluation of labaratory findings and imaging diagnostic procedures in the patient with solitary thyroid nodule. The major issue in relation to controversies is choice of optimal diagnostic workup.

scholarly journals Predicting Malignancy in a Solitary Thyroid Nodule: A Prospective Study on the Role of Color Doppler Ultrasonography

2014 ◽  
Vol 6 (1) ◽  
pp. 9-14 ◽  
Author(s):  
Ravi Varma ◽  
Gururaja Rao ◽  
Shilpa Rao ◽  
Nikhil M Bhagwat ◽  
Manoj D Chadha ◽  
...  
Keyword(s):  
Prospective Study ◽  
Thyroid Nodule ◽  
Doppler Ultrasonography ◽  
Thyroid Nodules ◽  
Color Doppler ◽  
Color Doppler Ultrasonography ◽  
Solitary Thyroid Nodule ◽  
A Prospective Study ◽  
Central Flow

ABSTRACT Palpable thyroid nodules are fairly common. While many are benign, the clinician faces the challenge of detecting the 4 to 14% of malignant lesions. Fine needle aspiration cytology (FNAC) of thyroid nodules seems to have eclipsed all other techniques for diagnosis of thyroid cancer, but has its limitations when a nodule is inaccessible or in the case of follicular neoplasm. This study from a hospital from Indian west coast shows that vascular flow pattern of extensive peripheral and central flow (Type-3) or a central flow only (Type-4) and a resistive index (RI) of >0.75 on power Doppler sonography shows a healthy sensitivity and excellent specificity for predicting malignancy. The utility becomes even more apparent among follicular neoplasms where FNAC can offer little help in distinguishing malignancy. How to cite this article Rao G, Rao S, Varma R, Bhagwat NM, Chadha MD, Joshi AS, Varthakavi PK. Predicting Malignancy in a Solitary Thyroid Nodule: A Prospective Study on the Role of Color Doppler Ultrasonography. Int J Otorhinolaryngol Clin 2014;6(1):9-14.

scholarly journals Role of fine-needle aspiration cytology & ultrasound in the management of solitary thyroid nodule

2019 ◽  
Vol 8 (1) ◽  
pp. 27
Author(s):  
D. U. Dantanarayana ◽  
M. Sheriff ◽  
G. R. Gallage ◽  
S. N. U. Jayawardana ◽  
E. M. C. D. Wickramanayake ◽  
...  
Keyword(s):  
Thyroid Nodule ◽  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Needle Aspiration ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Solitary Thyroid Nodule ◽  
Needle Aspiration Cytology
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