American Association of Endocrine SurgeonsRecommendations for management of cystic thyroid disease☆
Section snippets
Material and methods
A review of all patients referred for evaluation or treatment of a solitary thyroid nodule or a dominant nodule in a multinodular goiter from July 1990 to April 1999 was completed to determine the prevalence of cystic thyroid nodules, the significance of the volume and character of aspirated cyst fluid, the frequency and factors predictive of cyst resolution, and the incidence of carcinoma in cystic thyroid nodules. Evaluation of patients with a thyroid nodule currently consists of a routine
Results
During the 9-year study period, 389 patients were evaluated for nodular thyroid disease. A cystic thyroid nodule was present in 70 (18%) patients of whom 60 were women. The mean age ± standard deviation for patients with cystic thyroid nodules was 43 ± 17 years. FNAB was diagnostic in 50 (71%) patients including 35 of 44 (80%) patients who had a palpable residual mass. The results of FNAB are listed in Table I.
42 Benign 20 Nondiagnostic 5
Discussion
Cystic nodules constituted 18% of all thyroid nodules evaluated in our series. Carcinoma was diagnosed in 8.6% of all patients with cystic thyroid nodules and 21% of all patients with surgically excised cystic thyroid nodules. Other series have documented an overall incidence of carcinoma varying from 0% to 10% among all patients with cystic thyroid nodules including those that were surgically excised and those that were followed clinically (Table III).1, 4, 9, 11 The reported incidence of
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Not All Bethesda 1 Thyroid Nodules Were Created Equal: Different B1 Subgroups
2021, Endocrine PracticeCitation Excerpt :The results of this study show that despite the inadequacy of the samples in the 3 subgroups, the unique microscopic characteristics of each subgroup correlated with the likely risk of malignancy. Cystic change is a common feature in thyroid nodules and generally develops as a result of hemorrhagic degeneration in preexisting nodules.16,17 Cystic nodules were aspirated if they caused compression symptoms and/or patient anxiety.
Sequential treatment by polidocanol and radiofrequency ablation of large benign partially cystic thyroid nodules with solid components: Efficacy and safety
2020, Diagnostic and Interventional ImagingCitation Excerpt :Partially cystic thyroid nodules are nodules that have both solid and cystic components, and the rate of malignancy in partially cystic thyroid nodules is about 5.2% [1–3].
Ethanol ablation of thyroid cysts in the young with a focus on efficacy and quality of life
2023, European Thyroid Journal
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