Value of fine-needle aspiration and extemporaneous examination in thyroid surgery. a prospective study of 1235 fine-needle aspirations and extemporaneous examinations in 846 patients
Becouarn, G.; Duquesne, M.; Saint-André, J.P.; Bigorgne, J.C.; Arnaud, J.P.; Ronceray, J.
Journal de Chirurgie 133(5): 214-221
1996
ISSN/ISBN: 0021-7697 PMID: 8999042 Document Number: 467362
We report a prospective study conducted from 1993 through 1995 in 846 patients (mainly women) consulting for a thyroid nodule. There were 465 multinodular goiters and 373 single nodules. The clinical diagnosis was obvious in 8 patients who were excluded. Pre-operative fine-needle aspiration was performed in 1235 patients and per-operative extemporaneous examinations in 569. These two simple reliable examinations, with few significant complications in skillful hands, are complementary. Fine-needle aspiration gives reliable histology data for thyroid nodules and should always be included in the pre-operative workup. Extemporaneous pathology examination of the surgical specimen provides information for adapted surgery and avoids morbidity due to reoperation.