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LETTER TO THE EDITOR
Year : 2012  |  Volume : 9  |  Issue : 3  |  Page : 107

Better cytological evaluation of thyroid lesions is possible with imageological findings


1 Department of Pathology, Sri Venketeswar Institute of Medical Sciences, Tirupati, Andhra Pradesh, India
2 Department of Surgical Oncology, Sri Venketeswar Institute of Medical Sciences, Tirupati, Andhra Pradesh, India
3 Department of Radiology, Sri Venketeswar Institute of Medical Sciences, Tirupati, Andhra Pradesh, India

Date of Web Publication11-Aug-2012

Correspondence Address:
Rashmi Patnayak
Department of Pathology, Sri Venketeswar Institute of Medical Sciences, Tirupati, Andhra Pradesh - 517 507
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-0354.99664

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How to cite this article:
Patnayak R, Jena A, Bodagala V. Better cytological evaluation of thyroid lesions is possible with imageological findings. Thyroid Res Pract 2012;9:107

How to cite this URL:
Patnayak R, Jena A, Bodagala V. Better cytological evaluation of thyroid lesions is possible with imageological findings. Thyroid Res Pract [serial online] 2012 [cited 2019 Jul 23];9:107. Available from: http://www.thetrp.net/text.asp?2012/9/3/107/99664

Sir,

This is regarding the article "Fine-needle aspiration of the thyroid: A cytohistologic correlation with critical evaluation of discordant cases" by Pandey and coauthors. [1] As the authors have mentioned, routine use of fine-needle aspiration cytology of thyroid nodules has indeed resulted in dramatic decrease in unnecessary surgeries. They have mentioned cases where though the cytodiagnosis was made as papillary carcinoma of thyroid, the final histopathological diagnoses were colloid goiter with papillary hyperplasia and Hashimoto's thyroiditis. [1] In this context, we would like to mention that in case of such doubtful cases, correlation with clinical and imageological findings and repeat aspiration under radiologic guidance may help to arrive at a proper diagnosis. [2] In ultrasonography, features like shape, margin, echogenicity and presence of calcification help to distinguish benign from malignant thyroid nodules. [3] Still in cases of doubt, repeat guided aspiration from a solid area, with clinicians' consultation is preferable before proceeding for surgical intervention.

 
  References Top

1.Pandey P, Dixit A, Mahajan NC. Fine-needle aspiration of the thyroid: A cytohistologic correlation with critical evaluation of discordant cases. Thyroid Res Pract 2012;9:32-9.  Back to cited text no. 1
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2.Patnayak R, Vijaylaxmi B, Durgasi S, Jena A, Chowhan A. Seeking help from shadows. Am J ClinPathol 2012;137:501; author reply 502.  Back to cited text no. 2
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3.Moon WJ, Jung SL, Lee JH, Na DG, Baek JH, Lee YH, et al. Benign and malignant thyroid nodules: US differentiation--multicenter retrospective study. Radiology 2008;247:762-70.  Back to cited text no. 3
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