Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Pristautz, H; Petritsch, W; Schreiber, F; Warnkross, H; Pietsch, B; Passath, A; Leb, G; Tilz, GP; Kellner, A.
Sonography and cytology of cold thyroid nodules.
Rofo. 1989; 150(3):250-254
Doi: 10.1055/s-2008-1047018
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- Co-Autor*innen der Med Uni Graz
- Leb Georg
- Obermayer-Pietsch Barbara
- Petritsch Wolfgang
- Schreiber Florian
- Tilz Gernot
- Warnkroß Helga
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- Abstract:
- 270 patients with a scintigraphically cold thyroid nodule of sonographically increased (n = 34), diminished (n = 72) or neutral (n = 86) echogenity or cystic criteria (n = 78) were subjected to fine needle aspiration biopsy. This revealed unequivocal malignancy in 8 and follicular neoplasia in another 30 patients, 10 of whom proved to have malignomas on further evaluation. A total of 12 papillary and 2 follicular carcinomas, 2 non-Hodgkin lymphomas, 1 sarcoma and the metastasis of a breast carcinoma were diagnosed. The most sensitive criteria for malignancy were diminished echogenity, an inhomogeneous echo pattern and the occurrence of a solitary nodule. The incidence of malignancy was increased among males but not among especially young persons. There was no sonographic feature that would permit omission of fine needle aspiration.
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