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Cancer in Thyroid Nodules

Cancer in Thyroid Nodules Abstract To the Editor.—I would like to comment on the article by Werk et al1 in the March Archives. Werk et al stated that fine-needle aspiration is probably not suited for most community hospitals, since it has been stated that ten per week is necessary to maintain expertise. I would take a strong exception to that statement. I am a general internist with an interest in endocrinology, having had no previous formal training in aspiration technique. I began aspirating thyroid nodules using a fine needle approximately five years ago after attending an Endocrine Day program at the University of Washington, Seattle. A staff pathologist at that institution, who was skilled and willing to review our slides, made it possible to obtain an expert consultation by mail. Since that time, I have aspirated nearly all thyroid nodules and some goiters that have been referred to me. At present I have References 1. Werk EE Jr, Vernon BM, Gonzalez JJ, et al: Cancer in thyroid nodules: A community hospital survey . Arch Intern Med 1984;144:474-481.Crossref 2. Treece GL, Georgitis WJ, Hofeldt FD, et al: Resolution of recurrent thyroid cysts with tetracycline instillation . Arch Intern Med 1983;143: 2285-2287.Crossref 3. Van Herle AJ: The thyroid nodule . Ann Intern Med 1982;96:221-232.Crossref 4. Hamburger JI, Miller MJ, Kinney SR, et al: Lymphoma of the thyroid . Ann Intern Med 1983;99:685-693.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Cancer in Thyroid Nodules

Reynolds, W. A.
Archives of Internal Medicine , Volume 144 (11) – Nov 1, 1984
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References (4)

Publisher
American Medical Association
Copyright
Copyright © 1984 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1984.04400020221048
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor.—I would like to comment on the article by Werk et al1 in the March Archives. Werk et al stated that fine-needle aspiration is probably not suited for most community hospitals, since it has been stated that ten per week is necessary to maintain expertise. I would take a strong exception to that statement. I am a general internist with an interest in endocrinology, having had no previous formal training in aspiration technique. I began aspirating thyroid nodules using a fine needle approximately five years ago after attending an Endocrine Day program at the University of Washington, Seattle. A staff pathologist at that institution, who was skilled and willing to review our slides, made it possible to obtain an expert consultation by mail. Since that time, I have aspirated nearly all thyroid nodules and some goiters that have been referred to me. At present I have References 1. Werk EE Jr, Vernon BM, Gonzalez JJ, et al: Cancer in thyroid nodules: A community hospital survey . Arch Intern Med 1984;144:474-481.Crossref 2. Treece GL, Georgitis WJ, Hofeldt FD, et al: Resolution of recurrent thyroid cysts with tetracycline instillation . Arch Intern Med 1983;143: 2285-2287.Crossref 3. Van Herle AJ: The thyroid nodule . Ann Intern Med 1982;96:221-232.Crossref 4. Hamburger JI, Miller MJ, Kinney SR, et al: Lymphoma of the thyroid . Ann Intern Med 1983;99:685-693.Crossref

Journal

Archives of Internal Medicine – American Medical Association

Published: Nov 1, 1984

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