title: [Role of transoperative frozen section in the surgical management of thyroid nodules].
abstract: BACKGROUND
  Thyroid nodules (TN) are a common problem occurring in 4-7% of the general population. The final objective of a TN study is to determine whether the nodule is benign or malignant. Fine needle aspiration biopsy (FNAB) is accepted as the most appropriate preoperative procedure, but some authors have described undetermined results in 30% (follicular or suspicious lesion). Our objective is to determine whether transoperative frozen section (TOFS) plays a significant role in diagnosis and treatment of TN.
  
  
  METHODS
  This was a retrospective study and included patients who underwent thyroid surgery between January 2000 and December 2003 at the ABC Medical Center in Mexico City.
  
  
  RESULTS
  We included 142 patients: 14.8% were males and 85% were females. Median age was 43 years. In women, 30% had cancer and in men 76%. Sensitivity and specificity for TOFS were 94% and 93%, respectively. FNAB and the TOFS together detected 89% of the cancers. TOFS detected 39% of the cancers that the FNAB failed to detect and changed the surgical procedure in 13.4% of the patients.
  
  
  CONCLUSIONS
  Males face a higher risk of thyroid cancer. TOFS should be done as a routine procedure in the ABC Medical Center. In cases where FNAB is inconclusive or in the absence of one, TOFS is useful and can avoid a significant number of reoperations.
authors.affiliation: Departamento de Cirugía, Centro Médico ABC, México, D.F., Mexico. dioclau8@gmail.com
authors.forename: Claudio Alberto
authors.initials: CA
authors.lastname: Ramírez-Cerda
authors.forename: Leopoldo
authors.initials: L
authors.lastname: Guzmán-Navarro
authors.forename: Pablo
authors.initials: P
authors.lastname: Vidal-González