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Thyroid nodules in the irradiated patient—An indication for total thyroidectomy

✍ Scribed by Robert L. Segal; Rhoda H. Cobin; Walter Futterweit; Robert P. Fiedler; David K. Sirota

Publisher
John Wiley and Sons
Year
1985
Tongue
English
Weight
404 KB
Volume
28
Category
Article
ISSN
0022-4790

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✦ Synopsis

Eight patients who received radiation therapy to the head, neck, or chest during infancy, childhood, or adolescence are reported. In these individuals, the presenting abnormality was a nodule of the thyroid gland, which was found to be benign at surgery. All patients were subsequently found to harbor a malignant lesion of the contralateral lobe. On the basis of this study and the discussion presented, we feel that a total thyroidectomy is the indicated therapeutic procedure in previously radiated patients presenting with a cold nodule.

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## Abstract ## Background. Thyroid nodules are the most common surgical disease of the thyroid. Fine‐needle aspiration biopsy (FNAB) is the most commonly employed tool for establishing a diagnosis. However, 15% to 25% of FNAB reports yield inconclusive results. Immunostaining of cytological smears