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Cancer in Cystic Lesions of the Thyroid

Cancer in Cystic Lesions of the Thyroid Abstract • We reviewed the records of 341 patients who underwent thyroidectomy for the suspicion of cancer between 1975 and 1980. Cancer of the thyroid was found in 14% of them. Although cysts of the thyroid (pathologic finding of a fluid-filled cavity greater than 1 cm in diameter) were encountered in 35% of the patients, cysts were similarly distributed among patients with benign conditions (27%) or with cancer (33%). Most of the thyroid cysts in patients with carcinoma measured 2 to 4 cm in diameter. The cancer was found within the cystic cavity. The cysts in patients with cancer appeared to originate from necrosis of the tumor. B-mode ultrasonography was not reliable in differentiating cystic and solid lesions. The demonstration of the cystic nature of a thyroid nodule does not rule out the diagnosis of cancer of the gland. (Arch Surg 1982;117:1020-1023) References 1. Crile G Jr: Treatment of thyroid cysts by aspiration . Surgery 1966;59:210-211. 2. Walfish PG, Hazani E, Strawbridge HTG, et al: A prospective study of combined ultrasonography and needle aspiration biopsy in the assessment of the hypofunctioning thyroid nodule . Surgery 1977;82:474-482. 3. Walfish PG, Hazani E, Strawbridge HTG, et al: Combined ultrasound and needle aspiration cytology in the assessment and management of hypofunctioning thyroid nodule . Ann Intern Med 1977;87:270-274.Crossref 4. Gobien RP: Aspiration biopsy of the solitary thyroid nodule . Radiol Clin North Am 1979;17:543-554. 5. Jensen F, Rasmussen SN: The treatment of thyroid cysts by ultrasonically guided fine needle aspiration . Acta Chir Scand 1976;142:209-211. 6. Miller JM, Zafar SU, Karo JJ: The cystic thyroid nodule: Recognition and management . Radiology 1974;110:257-261.Crossref 7. Miskin M, Rosen IB, Walfish PG: B-mode ultrasonography in assessment of thyroid gland lesions . Ann Intern Med 1972;79:505-510.Crossref 8. Blum M, Goldman AB, Herskovic A, et al: Clinical application of thyroid echography . N Engl J Med 1972;287:1164-1169.Crossref 9. Rosen IB, Wallace C, Strawbridge HG, et al: Reevaluation of needle aspiration cytology in detection of thyroid cancer . Surgery 1981;90:747-756. 10. Allen FH, Krook PM, DeGroot WPH: Ultrasound demonstration of a thyroid carcinoma within a benign cyst . Am J Radiol 1979;132:136-137. 11. McGowan KD, Reed JW, Fariss BL: The role of thyroid therapy in patients with thyroid cysts . Am J Med 1980;68:835-855. 12. Ram MD, Hyde G, Griffen WO: Thyroidography in evaluation of thyroid disease . Arch Surg 1980;115:588-592.Crossref 13. Clark OH, Okerhurst MD, Cavalier RR, et al: Diagnosis and treatment of thyroid, parathyroid, and thyroglossal duct cysts . J Clin Endocrinol Metab 1979;48:983-988.Crossref 14. McCowen KD, Reed JW, Fariss BL: The role of thyroid therapy in patients with thyroid cysts . Am J Med 1980;68:853-855.Crossref 15. Zeligs JD, Wolliman SH: Microhemorrhage in the hyperplastic thyroid gland of the rat . Am J Pathol 1976;85:317-332. 16. Wollman SH, Hervey JP: Thyroid capsule changes during the development of thyroid hyperplasia in the rat . Am J Pathol 1978;93:639-648. 17. Wollman SH, Hervey JP, Feligs JD, et al: Blood capillary enlargement during the development of thyroid hyperplasia in the rat . Endocrinology 1978;103:2306-2314.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Cancer in Cystic Lesions of the Thyroid

Hammer, Max; Wortsman, Jacobo; Folse, Roland
Archives of Surgery , Volume 117 (8) – Aug 1, 1982
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References (17)

Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1982.01380320016005
Publisher site
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Abstract

Abstract • We reviewed the records of 341 patients who underwent thyroidectomy for the suspicion of cancer between 1975 and 1980. Cancer of the thyroid was found in 14% of them. Although cysts of the thyroid (pathologic finding of a fluid-filled cavity greater than 1 cm in diameter) were encountered in 35% of the patients, cysts were similarly distributed among patients with benign conditions (27%) or with cancer (33%). Most of the thyroid cysts in patients with carcinoma measured 2 to 4 cm in diameter. The cancer was found within the cystic cavity. The cysts in patients with cancer appeared to originate from necrosis of the tumor. B-mode ultrasonography was not reliable in differentiating cystic and solid lesions. The demonstration of the cystic nature of a thyroid nodule does not rule out the diagnosis of cancer of the gland. (Arch Surg 1982;117:1020-1023) References 1. Crile G Jr: Treatment of thyroid cysts by aspiration . Surgery 1966;59:210-211. 2. Walfish PG, Hazani E, Strawbridge HTG, et al: A prospective study of combined ultrasonography and needle aspiration biopsy in the assessment of the hypofunctioning thyroid nodule . Surgery 1977;82:474-482. 3. Walfish PG, Hazani E, Strawbridge HTG, et al: Combined ultrasound and needle aspiration cytology in the assessment and management of hypofunctioning thyroid nodule . Ann Intern Med 1977;87:270-274.Crossref 4. Gobien RP: Aspiration biopsy of the solitary thyroid nodule . Radiol Clin North Am 1979;17:543-554. 5. Jensen F, Rasmussen SN: The treatment of thyroid cysts by ultrasonically guided fine needle aspiration . Acta Chir Scand 1976;142:209-211. 6. Miller JM, Zafar SU, Karo JJ: The cystic thyroid nodule: Recognition and management . Radiology 1974;110:257-261.Crossref 7. Miskin M, Rosen IB, Walfish PG: B-mode ultrasonography in assessment of thyroid gland lesions . Ann Intern Med 1972;79:505-510.Crossref 8. Blum M, Goldman AB, Herskovic A, et al: Clinical application of thyroid echography . N Engl J Med 1972;287:1164-1169.Crossref 9. Rosen IB, Wallace C, Strawbridge HG, et al: Reevaluation of needle aspiration cytology in detection of thyroid cancer . Surgery 1981;90:747-756. 10. Allen FH, Krook PM, DeGroot WPH: Ultrasound demonstration of a thyroid carcinoma within a benign cyst . Am J Radiol 1979;132:136-137. 11. McGowan KD, Reed JW, Fariss BL: The role of thyroid therapy in patients with thyroid cysts . Am J Med 1980;68:835-855. 12. Ram MD, Hyde G, Griffen WO: Thyroidography in evaluation of thyroid disease . Arch Surg 1980;115:588-592.Crossref 13. Clark OH, Okerhurst MD, Cavalier RR, et al: Diagnosis and treatment of thyroid, parathyroid, and thyroglossal duct cysts . J Clin Endocrinol Metab 1979;48:983-988.Crossref 14. McCowen KD, Reed JW, Fariss BL: The role of thyroid therapy in patients with thyroid cysts . Am J Med 1980;68:853-855.Crossref 15. Zeligs JD, Wolliman SH: Microhemorrhage in the hyperplastic thyroid gland of the rat . Am J Pathol 1976;85:317-332. 16. Wollman SH, Hervey JP: Thyroid capsule changes during the development of thyroid hyperplasia in the rat . Am J Pathol 1978;93:639-648. 17. Wollman SH, Hervey JP, Feligs JD, et al: Blood capillary enlargement during the development of thyroid hyperplasia in the rat . Endocrinology 1978;103:2306-2314.Crossref

Journal

Archives of Surgery – American Medical Association

Published: Aug 1, 1982

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