PMID: 9419100Jan 7, 1998Paper

High-resolution ultrasound associated with aspiration biopsy in the follow-up of patients with differentiated thyroid cancer

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
J M RodriguezP Parrilla

Abstract

To assess the value of ultrasound in the follow-up of patients undergoing surgery for differentiated thyroid carcinoma. The study included 89 patients (70 women and 19 men) with differentiated thyroid carcinoma (76 papillary and 13 follicular cancer). High-frequency ultrasound (US) was used in the evaluation of 89 subjects who underwent surgery for thyroid carcinoma. Fine-needle aspiration was performed in cases with positive US. In addition, determinations of thyroglobulin (Tgb) in serum, scintigraphy with (131)I, and cervical palpation were evaluated. We determined sensitivity, specificity, and overall accuracy for each of these diagnostic methods. Ultrasonography was positive in 22 subjects, 16 in the nodal area and 6 in the thyroid bed. Twenty-two subjects received fine-needle aspiration with US control; 13 (59%) of 22 were positive for cancer. The results of the US for detecting neoplastic disease showed a sensitivity of 65%, specificity of 86%, and overall accuracy of 82%. The overall accuracy for scintigraphy was 88% and for Tgb, 91%. We concluded that US can be included in the follow-up protocol for patients undergoing surgery for differentiated cancer of thyroid, as a valuable tool to localize the recurrence. This tech...Continue Reading

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Citations

Jun 8, 2001·Cancer·S KrishnamurthyN P Caraway
Feb 8, 2003·European Journal of Ultrasound : Official Journal of the European Federation of Societies for Ultrasound in Medicine and Biology·Rainer GörgesO Dirsch
May 15, 2001·Thyroid : Official Journal of the American Thyroid Association·A MachensH Dralle
Oct 19, 1999·Thyroid : Official Journal of the American Thyroid Association·P MikoschP Lind
Jun 27, 2014·Thyroid : Official Journal of the American Thyroid Association·Henry K SuMark L Urken
Dec 20, 2000·Current Surgery·L LloydI Audet
Dec 2, 2008·Otolaryngologic Clinics of North America·Nafi Aygun
Jun 14, 2003·Otolaryngologic Clinics of North America·Erik G CohenDennis H Kraus
Aug 9, 2007·Arquivos brasileiros de endocrinologia e metabologia·Pedro W RosárioRui M B Maciel
Jun 5, 2007·Arquivos brasileiros de endocrinologia e metabologia·Rosa Paula M BiscollaRui M B Maciel
Sep 25, 2007·Arquivos brasileiros de endocrinologia e metabologia·Rosa Paula M Biscolla

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