[Therapy of suspicious fine needle puncture from nodular struma with reference to thyroid function and morphology].
A suspicious preoperative cytology (= class "III") may be the result of various disorders of the thyroid presenting with cell atypia. For example hyperthyroidism or thyroiditis can show a cytological aspect, mimicing a differentiated carcinoma. Our study, comprising 231 patients with cytology "III" revealed a low malignancy rate (1%) in cases of concurrent hyperthyroidism or thyreoiditis. In contrast, 26% of the patients presenting with euthyroid nodular goiter and cytology "III" had a malignant histology such patients should be treated by primary lobectomy.
Pimpl
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I. Chirurgische Abteilung, Landeskrankenanstalten, Salzburg.
Lexer
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Boecke
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Galvan
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G
D001707:Biopsy, Needle; D003937:Diagnosis, Differential; D006044:Goiter, Nodular / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D006980:Hyperthyroidism / Q000473:pathology / Q000601:surgery; D013964:Thyroid Neoplasms / Q000473:pathology* / Q000601:surgery*; D016606:Thyroid Nodule / Q000473:pathology* / Q000601:surgery*; D013965:Thyroidectomy; D013966:Thyroiditis / Q000473:pathology / Q000601:surgery