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Martha A. Zeiger, MD

Arch Surg. 2006;141:966.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

It is important for surgeons to be cognizant that suspicious thyroid fine-needle aspiration (FNA) cytology reports do not follow a script. In other words, an FNA specimen that is "suspicious for papillary thyroid cancer" (PTC) is not always indicative of PTC, its follicular variant (FVPTC), or a benign tumor on final histopathologic examination. Conversely, a "follicular neoplasm" on an FNA specimen does not necessarily represent a follicular cancer, FVPTC, or follicular adenoma, nor does "Hürthle cell neoplasm" always represent Hürthle cell cancer or Hürthle cell adenoma. A follicular neoplasm can be indicative of PTC, lymphocytic thyroiditis, or Hürthle cell tumor, and similarly, a lesion suspicious for PTC can represent lymphocytic thyroiditis or Hürthle cell tumor. Importantly, an FNA specimen that is suspicious for PTC can also represent a follicular adenoma or follicular cancer.

Dr McHenry's group carefully examined the cytologic details of lesions suspicious for PTC . . . [Full Text of this Article]

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When Fine-Needle Aspiration Biopsy Cannot Exclude Papillary Thyroid Cancer: A Therapeutic Dilemma
Elizabeth A. Mittendorf, Amer Khiyami, and Christopher R. McHenry
Arch Surg. 2006;141(10):961-966.
ABSTRACT | FULL TEXT