[Follicular thyroid tumor as a diagnostic and therapeutic problem].
Although the appearance of follicular thyroid tumors in the population is high, only a small part of them are malignant. Follicular tumors are built of follicular epithelial cells and are encapsulated. Cell atypia differentiates follicular adenoma from cancer. Follicular cancer is characterized by vascular invasion and causes metastases through blood vessels, mainly to lungs and bones. In the diagnosis of follicular thyroid neoplasm, pathological examination of postoperative material plays a leading role. In diagnosis before surgical treatment, physical examination, ultrasound (USG), and fine needle aspiration biopsy (FNAB) are of great importance. The choice of treatment in patients in which follicular neoplasm has been diagnosed by FNAB awakes controversies. In practice it is impossible to determine reliably before surgery whether the lesion is malignant or not. Because of the rare incidence of thyroid cancer in the general population, more and more authors tend to decide on partial resection of the thyroid gland and possible radicalization if cancer is diagnosed on paraffin specimen examination.
Król
Robert
R
Katedra i Klinika Chirurgii Ogólnej, Naczyniowej i Transplantacyjnej Slaskiej Akademii Medycznej w Katowicach. robertk@hot.pl
Heitzman
Marek
M
Pawlicki
Jacek
J
Ziaja
Jacek
J
Cierpka
Lech
L
D018263:Adenocarcinoma, Follicular / Q000175:diagnosis* / Q000473:pathology / Q000556:secondary / Q000628:therapy*; D000236:Adenoma / Q000175:diagnosis / Q000473:pathology; D003937:Diagnosis, Differential; D006801:Humans; D013964:Thyroid Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy*