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Surgical Strategy in Thyroid Disease-Reply

Surgical Strategy in Thyroid Disease-Reply This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract In Reply.—I have read with interest the comments of Watkinson regarding the management of thyroid nodules. The approach that he outlines in his letter is essentially the one that I would have advocated myself 10 years ago. The continuing development of fine-needle aspiration cytology, and my access to excellent cytopathologists has changed this approach, however. I now strongly advocate that fine-needle aspiration be used early on in the evaluation, especially of clinically suspicious or solitary thyroid nodules. The other tests that Watkinson discussed (such as thyroid scintigraphy) we still use as adjunctive studies when the fine-needle aspiration does not provide conclusive evidence of malignancy. However, these tests are less specific and, in fact, more costly. When I made an estimate of the cost of Watkinson's diagnostic protocol in what I feel would be an average spectrum of 100 patients coming in for an evaluation of thyroid masses, I found http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Surgical Strategy in Thyroid Disease-Reply

Surgical Strategy in Thyroid Disease-Reply

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract In Reply.—I have read with interest the comments of Watkinson regarding the management of thyroid nodules. The approach that he outlines in his letter is essentially the one that I would have advocated myself 10 years ago. The continuing development of fine-needle aspiration cytology, and my access to excellent cytopathologists has changed this...
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Publisher
American Medical Association
Copyright
Copyright © 1992 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1992.01880040115023
Publisher site
See Article on Publisher Site

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract In Reply.—I have read with interest the comments of Watkinson regarding the management of thyroid nodules. The approach that he outlines in his letter is essentially the one that I would have advocated myself 10 years ago. The continuing development of fine-needle aspiration cytology, and my access to excellent cytopathologists has changed this approach, however. I now strongly advocate that fine-needle aspiration be used early on in the evaluation, especially of clinically suspicious or solitary thyroid nodules. The other tests that Watkinson discussed (such as thyroid scintigraphy) we still use as adjunctive studies when the fine-needle aspiration does not provide conclusive evidence of malignancy. However, these tests are less specific and, in fact, more costly. When I made an estimate of the cost of Watkinson's diagnostic protocol in what I feel would be an average spectrum of 100 patients coming in for an evaluation of thyroid masses, I found

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Apr 1, 1992

There are no references for this article.