J. MARTIN MILLER, M.D.; JOEL I. HAMBURGER, M.D.; SUDHA R. KINI, M.D.
To the editor: Gharib and associates (1) report that 333 of 1970 patients with thyroid nodules who were treated at the Mayo Clinic had "suspicious" findings on fine-needle aspiration biopsy. They advised surgical excision of all such lesions because 24% of 253 excised lesions were malignant. Comparison with the published experience with fine-needle aspiration biopsy or large-needle aspiration biopsy on our first 2000 patients shows important differences (2). Gharib and associates placed their nodules in three diagnostic categories: malignant, 5%; suspicious, 17%; and benign, 78%. We also had three categories: probably malignant, 15%; possibly malignant, 17%; and probably benign, 67%.
J. MARTIN MILLER, JOEL I. HAMBURGER, SUDHA R. KINI. Thyroid Nodules and Needle Biopsy. Ann Intern Med. 1984;101:718. doi: 10.7326/0003-4819-101-5-718_1
Download citation file:
Published: Ann Intern Med. 1984;101(5):718.
Copyright © 2017 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use