Managing the Solitary Thyroid Nodule: Role of Needle Biopsy
Authors: MANFRED BLUM
Journal: Annals of Internal Medicine (1977)

Editorials1 September 1977Managing the Solitary Thyroid Nodule: Role of Needle BiopsyMANFRED BLUM, M.D., F.A.C.P.MANFRED BLUM, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-87-3-375 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThyroid malignancies are rare, whereas benign nodular disease is common and does not require surgical management unless there is obstruction of the thoracic inlet. The problem is to identify those patients likely to have a thyroid malignancy. Fortunately, there is adequate time to assess the likelihood of malignancy because thyroid cancers are very slow growing and are generally associated with minimal morbidity and long survival. Furthermore, because these tumors may be responsive to thyrotropin (TSH), suppressive therapy with thyroid hormone has been shown to be beneficial in some patients. Thus, a few clinicians manage all thyroid nodules medically, maintaining that...References1. BLUM M: Enhanced clinical diagnosis of thyroid disease using echography. Am J Med 59:301-307, 1975 CrossrefMedlineGoogle Scholar2. CRILEVICKERY GA: Special uses of the Silverman biopsy needle in office practice and operations. Am J Surg 83:83-85, 1952 CrossrefMedlineGoogle Scholar3. WANGVICKERYMALOOF CAF: Needle biopsy of the thyroid. Surg Gynecol Obstet 143:365-368, 1976 MedlineGoogle Scholar4. SODERSTROM N: Punctures of goiters for aspiration biopsy. Acta Med Scand 144:237-244, 1952 CrossrefMedlineGoogle Scholar5. GERSHENGORNMCCLUNGCHUHANSONWEINTRAUBROBBINS MMETBJ: Fine-needle aspiration cytology in the preoperative diagnosis of thyroid nodules. Ann Intern Med 87:265-269, 1977 LinkGoogle Scholar6. WALFISHHAZANISTRAWBRIDGEMISKINROSEN PEHMI: An evaluation of combined ultrasound and needle aspiration cytology in the assessment and management of the hypofunctioning thyroid nodule. Ann Intern Med 87:270-274, 1977 LinkGoogle Scholar7. MILLERZAFARKARO JSJ: The cystic thyroid nodule. Recognition and management. Radiology 110:257-261, 1974 CrossrefMedlineGoogle Scholar8. BLUMPASSALAQUASACKLER MAJ: Gray scale echotomography of the thyroid. Annual Meeting of the American Thyroid Association, Toronto, Canada, 15 September 1976 Google Scholar9. SILVERBERGVIDONE SR: Adenoma and carcinoma of the thyroid. Cancer 19:1053-1062, 1966 CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byUS-guided fine-needle aspiration biopsy of thyroid nodulesThe role of fine-needle aspiration biopsy in the rapid diagnosis and management of thyroid neoplasmFine-needle aspiration versus large-needle biopsy or cutting biopsy in evaluation of thyroid nodulesDetermination and characterization of hexokinase in thyroid cancer and benign neoplasmsPyruvate kinase in normal human thyroid tissue and thyroid neoplasmsA clinical epidemiologic study of thyroid carcinoma in Malmö, SwedenFine-Needle Aspiration Biopsy of the Thyroid The Problem of Suspicious Cytologic FindingsHOSSEIN GHARIB, M. D., JOHN R. GOELLNER, M.D., ALAN R. ZINSMEISTER, Ph.D., CLIVE S. GRANT, M.D., JON A. VAN HEERDEN, M.B.,Ch.B.Thyroid Disease in the ElderlyFine-needle aspiration biopsy of thyroid nodulesNeedle biopsy in the assessment and management of hypofunctioning thyroid nodulesManagement of thyroid nodules. II: Scanning techniques, thyroid suppressive therapy, and fine needle aspirationManagement of thyroid nodules. I: History and physical examination, blood tests, x-ray tests, and ultrasonographyUltrasonography of Thyroid and Neck MassesManaging the Solitary Thyroid Nodule: Echography's Role 1 September 1977Volume 87, Issue 3Page: 375-377KeywordsBiopsyHormonal therapyMorbidityThyroidThyroid carcinomaThyroid hormonesThyroid-stimulating hormone ePublished: 1 December 2008 Issue Published: 1 September 1977 PDF downloadLoading ...