Hürthle cell metaplasia on fine-needle aspiration biopsy is not by itself an indication for thyroid surgery.

Abstract:

INTRODUCTION:The aim of this study was to assess the malignancy rate in patients with Hürthle cell metaplasia (HCM) on fine-needle aspiration biopsy (FNAB). METHODS:The pathology results of patients with benign colloid (BC) and HCM on FNAB were compared using a prospective database. RESULTS:One hundred fifty-three (65%) patients had BC on FNAB, and 82 (35%) had HCM. The mean nodule size was similar in both groups (25 ± 2 mm vs 26 mm ± 2 mm, P = .83). Malignancy was identified on the final pathology report in 21 (14%) versus 13 (16%) patients in the BC and HCM groups, respectively (P = .66). Of the patients with malignancy, the tumor was determined as microcarcinoma in 76% in the BC groups versus 85% in the HCM group (P = .48) and as incidental in 71% versus 85% (P = .39). CONCLUSIONS:A result of HCM on FNAB carries a similar rate of malignancy as BC and should not be treated differently. Most of the malignancies found were incidental microcarcinomas.

journal_name

Am J Surg

authors

Hudak K,Mazeh H,Sippel RS,Chen H

doi

10.1016/j.amjsurg.2011.09.019

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

287-90; discussion 290-1

issue

3

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(11)00746-X

journal_volume

203

pub_type

杂志文章
  • Clinical significance of preoperative neutrophil-lymphocyte vs platelet-lymphocyte ratio in primary operable patients with non-small cell lung cancer.

    abstract:BACKGROUND:Our aim was to determinate the prognostic value of neutrophil-lymphocyte ratio (NLR) and platelet-lymphocyte ratio (PLR) in primary operable patients with non-small cell lung cancer (NSCLC). METHODS:Six hundred seventy-eight NSCLC patients were enrolled in this study. The prognostic significance of both mar...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2015.03.022

    authors: Zhang H,Xia H,Zhang L,Zhang B,Yue D,Wang C

    更新日期:2015-09-01 00:00:00

  • Polytrauma independent of therapeutic intervention alters the gastrointestinal microbiome.

    abstract:BACKGROUND:This study characterizes the gastrointestinal (GI) microbiome in a pre-clinical polytrauma hemorrhage model. METHODS:Rats (n = 6) were anesthetized, hemorrhaged 20% of their blood volume, and subjected to a femur fracture and crush injuries to the small intestine, liver, and limb skeletal muscle without res...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2018.07.026

    authors: Nicholson SE,Merrill D,Zhu C,Burmeister DM,Zou Y,Lai Z,Darlington DN,Lewis AM,Newton L,Scroggins S,Eastridge BJ,Schwacha MG

    更新日期:2018-10-01 00:00:00

  • A cost analysis of a pancreatic cancer screening protocol in high-risk populations.

    abstract:BACKGROUND:Pancreatic cancer is the 4th leading cause of cancer death in the United States. A screening protocol is needed to catch early-stage, resectable disease. This study suggests a protocol for high-risk individuals and assesses the cost in the context of the Affordable Care Act. METHODS:Medicare and national av...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2014.11.017

    authors: Bruenderman E,Martin RC 2nd

    更新日期:2015-09-01 00:00:00

  • Acute histologic inflammatory activity and postoperative outcomes in pediatric patients with ulcerative colitis.

    abstract:BACKGROUND:The aim of this study was to determine whether acute histologic inflammatory activity at the rectal margin predicts postoperative complications in children with ulcerative colitis following ileal pouch-anal anastomoses (IPAA). METHODS:Patients who underwent IPAA following previous total abdominal colectomy ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2020.02.054

    authors: Onwuka E,Huntington J,Onwuka A,Prasad V,Nwomeh B

    更新日期:2020-04-01 00:00:00

  • Factors and outcomes associated with surgical treatment options of contralateral breast cancer.

    abstract:BACKGROUND:The treatment for a contralateral breast cancer (CBC) presents a growing dilemma given the expanding number of long-term survivors. We hypothesize that there will be specific surgical treatment trends with demographic differences between the treatment groups. METHODS:The Surveillance, Epidemiology, and End ...

    journal_title:American journal of surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.amjsurg.2014.05.010

    authors: Arrington AK,Voci A,Reparaz L,Fry W

    更新日期:2014-10-01 00:00:00

  • Does increased experience with laparoscopic cholecystectomy yield more complex bile duct injuries?

    abstract:BACKGROUND:Two decades since the advent of laparoscopic cholecystectomy, the rate of bile duct injuries still remains higher than in the open cholecystectomy era. METHODS:The rate and complexity of bile duct injuries was evaluated in 83,449 patients who underwent laparoscopic cholecystectomy between 1995 and 2008 in t...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2011.08.018

    authors: Chuang KI,Corley D,Postlethwaite DA,Merchant M,Harris HW

    更新日期:2012-04-01 00:00:00

  • Subtotal vs. total parathyroidectomy with autotransplantation for patients with renal hyperparathyroidism have similar outcomes.

    abstract:BACKGROUND:The optimal surgery for patients with renal hyperparathyroidism has been controversial, as either subtotal parathyroidectomy (subtotal PTX) or total parathyroidectomy with auto-transplantation (total PTX-AT) may be employed. METHODS:Adult patients having subtotal PTX or total PTX-AT for secondary hyperparat...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2017.07.018

    authors: Anderson K Jr,Ruel E,Adam MA,Thomas S,Youngwirth L,Stang MT,Scheri RP,Roman SA,Sosa JA

    更新日期:2017-11-01 00:00:00

  • Sex variability of fine-needle aspiration reliability in the diagnosis of malignancy in thyroid nodules ≥4 cm.

    abstract:BACKGROUND:The effect of sex on fine-needle aspiration (FNA) diagnosis of thyroid cancer remains unknown. This study determines the reliability of FNA when evaluating thyroid nodules ≥4 cm in women and men. METHODS:Prospectively collected data of 1,068 patients who underwent FNA and thyroidectomy at a tertiary medical...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2013.04.001

    authors: Parikh PP,Allan BJ,Lew JI

    更新日期:2013-11-01 00:00:00

  • The open mesh repair of Spigelian hernia.

    abstract:BACKGROUND:Spigelian hernias are rare defects of the abdominal wall usually appearing between the abdominal muscles, lateral to the rectus abdominis and through a debilitated Spigelian aponeurosis. Recently, mesh repair has been introduced for the treatment of these types of hernias and different approaches have been p...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2006.04.016

    authors: Celdrán A,Señaris J,Mañas J,Frieyro O

    更新日期:2007-01-01 00:00:00

  • Carotid endarterectomy.

    abstract::A technique for carotid endarterectomy done under general anesthesia features the routine use of a straight shunt, precise removal of all plaque and shreds of media, and routine completion angiography done as a means of quality control. ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(05)80274-0

    authors: Gaspar MR

    更新日期:1990-02-01 00:00:00

  • The fate of exposed bone.

    abstract::Exposed bone, even in conjunction with a fracture, will cover spontaneously with granulation tissue followed by epithelium, or will sequestrate and then cover, providing there is adequate circulation at the wound site. The healing process is lengthy but need not interfere with the reestablishment of function of the wo...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(79)90115-6

    authors: Brown PW

    更新日期:1979-04-01 00:00:00

  • Patterns of injury and functional outcome after hanging: analysis of the National Trauma Data Bank.

    abstract:PURPOSE:Hanging has become the second most common method of attempted suicide among adolescents, but there is little relevant epidemiologic or outcome data in the trauma literature. Additionally, there are no studies examining the degree of functional disability among survivors of hanging injury. METHODS:The National ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2005.05.051

    authors: Martin MJ,Weng J,Demetriades D,Salim A

    更新日期:2005-12-01 00:00:00

  • Gallstone ileus. Review of 112 patients in the Japanese literature.

    abstract::A survey was made of 112 cases of gallstone ileus reported in the Japanese literature, including 3 of our cases. The ratio of males to females was 1 to 1.1, the age range was 13 to 87 years, and biliary-enteric fistulas were demonstrated in 81 percent of the patients. Although cholecystoduodenal fistula was most commo...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(80)90185-3

    authors: Kasahara Y,Umemura H,Shiraha S,Kuyama T,Sakata K,Kubota H

    更新日期:1980-09-01 00:00:00

  • The letters of William Stewart Halsted and John Chalmers DaCosta.

    abstract::William Stewart Halsted and John Chalmers DaCosta are two of the most distinguished surgeons in the history of medicine in the United States. Although their personalities were completely opposite, they enjoyed a long and devoted friendship. During their relationship, a fairly continuous correspondence was maintained. ...

    journal_title:American journal of surgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1016/0002-9610(89)90622-3

    authors: Rutkow IM

    更新日期:1987-09-01 00:00:00

  • Outcomes of laparoscopic colon cancer surgery in a population-based cohort in British Columbia: are they as good as the clinical trials?

    abstract:BACKGROUND:Randomized controlled trials have shown equivalent outcomes for laparoscopic-assisted colectomy (LAC) and open colectomy (OC) when performed by well-trained surgeons experienced in both techniques. Our goal was to evaluate the outcomes of LAC at a population level. METHODS:Using the prospectively collected ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2011.11.015

    authors: Aslani N,Lobo-Prabhu K,Heidary B,Phang T,Raval MJ,Brown CJ

    更新日期:2012-10-01 00:00:00

  • Telepathy: maximizing resident exposure to surgical pathology decision making.

    abstract:BACKGROUND:General surgery residents are often not present for the critical intraoperative discussion between surgeon and pathologist regarding surgical pathology findings. METHODS:A prospective pilot study analyzed general surgery resident exposure to surgical pathology. Thereafter, an operating room was equipped to ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2005.09.010

    authors: McLemore EC,Schlinkert RT,Schlinkert DK,Williams JW,Bailey DP

    更新日期:2006-04-01 00:00:00

  • Buerger's disease in the modern era.

    abstract::In an effort to determine the current incidence and clinical course of Buerger's disease, we reviewed the records of over 700 patients with small artery disease who were evaluated at Oregon Health Sciences University during a 15 year period. We identified 26 patients who met rigid criteria for the diagnosis of Buerger...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(87)90301-1

    authors: Mills JL,Taylor LM Jr,Porter JM

    更新日期:1987-07-01 00:00:00

  • Exponential decay modeling can define parameters of weight loss trajectory after laparoscopic Roux-en-Y gastric bypass.

    abstract:BACKGROUND:Laparoscopic Roux-en-Y gastric bypass (LRYGB) produces durable and clinically significant weight loss. We aim to characterize the trajectory of weight loss, and demonstrate the predictive ability of three-month performance on final weight loss. METHODS:Retrospective analysis of 1097 consecutive LRYGB patien...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2017.10.024

    authors: Wise ES,Felton J,Kligman MD

    更新日期:2018-07-01 00:00:00

  • A systematic review of clinically available gene expression profiling assays for stage II colorectal cancer: initial steps toward genetic staging.

    abstract:BACKGROUND:In recent years, increasingly accessible and novel genetic technologies have spurred keen interest in the application of cancer genetics in predicting prognosis and response to treatment. In particular, investigators have eagerly sought to establish and validate genetic signatures that might improve the iden...

    journal_title:American journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.amjsurg.2016.06.019

    authors: Lopez NE,Weiss AC,Robles J,Fanta P,Ramamoorthy SL

    更新日期:2016-10-01 00:00:00

  • Getting to the bottom of treatment of rectal prolapse in the elderly: Analysis of the National Surgical Quality Improvement Program (NSQIP).

    abstract:BACKGROUND:Many approaches to treat rectal prolapse exists, yet little is known regarding their safety in the elderly. METHOD:NSQIP (2008-2014) was queried to identify patients ≥ 70 years who underwent open rectopexy (OR), laparoscopic rectopexy (LR) and perineal rectosigmoidectomy (PR). Patients were selected using N...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2019.02.010

    authors: Daniel VT,Davids JS,Sturrock PR,Maykel JA,Phatak UR,Alavi K

    更新日期:2019-08-01 00:00:00

  • Computed tomography in the diagnosis of blunt thoracic injury.

    abstract:BACKGROUND:Computed tomography (CT) is an important diagnostic modality in the evaluation of blunt head and abdominal injuries, but it has not been routinely used to evaluate blunt chest trauma. METHODS:One hundred seventy stable patients with blunt thoracic trauma were evaluated with chest x-ray (CXR), and subsequent...

    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0002-9610(05)80146-1

    authors: Marts B,Durham R,Shapiro M,Mazuski JE,Zuckerman D,Sundaram M,Luchtefeld WB

    更新日期:1994-12-01 00:00:00

  • EEA esophageal stapling for control of bleeding esophageal varices.

    abstract::Esophageal transection with the EEA stapler was performed in five patients with bleeding esophageal varices. Bleeding from varices has not recurred in surviving patients during follow-up of up to 27 months. One death occurred during the postoperative period. Esophageal transection with the EEA stapler is an effective ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(80)90125-7

    authors: Cooperman M,Fabri PJ,Martin EW Jr,Carey LC

    更新日期:1980-12-01 00:00:00

  • Prospective study using skin staplers in head and neck surgery.

    abstract:BACKGROUND:A prospective trial was undertaken to investigate the advantages and disadvantages of stapled skin closure versus conventional nylon sutures in head and neck surgery. PATIENTS AND METHODS:The study included 20 consecutive patients who underwent extensive surgery in which their skin was closed with staples. ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(99)80327-4

    authors: dos Santos LR,Freitas CA,Hojaij FC,Araújo Filho VJ,Cernea CR,Brandão LG,Ferraz AR

    更新日期:1995-11-01 00:00:00

  • Computerized tomographic assessment of graft incorporation after aortic reconstruction.

    abstract::Computerized tomographic scanning is being used with increasing frequency for the detection of abdominal aortic prosthetic complications. Although computerized tomography remains a very precise method for direct imaging of the retroperitoneal space, the interpretation of a postoperative computerized tomographic scan i...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(85)90125-4

    authors: Qvarfordt PG,Reilly LM,Mark AS,Goldstone J,Wall SD,Ehrenfeld WK,Stoney RJ

    更新日期:1985-08-01 00:00:00

  • Specificity of the suppressor cell activity of intestinal lymphocytes.

    abstract::Experiments were designed to examine the functional characteristics of lymphocytes harvested from the human intestine. Lymphocytes were harvested from the intestines of patients undergoing intestinal resection for a variety of gut disorders. The mitogenic and allogeneic responses of gut lymphocytes were found to be co...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(83)90184-8

    authors: Smith EB,Leapman SB,Filo RS,Jesseph JE,Smith PG

    更新日期:1983-01-01 00:00:00

  • The guide wire dilating forceps technique of percutaneous tracheostomy.

    abstract:BACKGROUND:Prospective evaluation of the percutaneous tracheostomy by the guide wire dilating forceps (GWDF) technique. METHODS:In 50 selected patients percutaneous tracheostomy with fiberscopic control was performed and evaluated. RESULTS:Most percutaneous tracheostomies were performed without any adverse effect. No...

    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0002-9610(99)00049-5

    authors: van Heerbeek N,Fikkers BG,van den Hoogen FJ,Mollen RM,Marres HA

    更新日期:1999-04-01 00:00:00

  • Comparison of postoperative wound complications and early cancer recurrence between patients undergoing mastectomy with or without immediate breast reconstruction.

    abstract::The incidence of postoperative wound complications and early cancer recurrence was studied in 289 patients who had mastectomy alone and in 113 patients who underwent immediate reconstruction following mastectomy. Patients undergoing immediate reconstruction were younger and had less advanced disease than patients who ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(05)80572-0

    authors: O'Brien W,Hasselgren PO,Hummel RP,Coith R,Hyams D,Kurtzman L,Neale HW

    更新日期:1993-07-01 00:00:00

  • Spontaneous hepatic rupture in pregnancy.

    abstract::Hepatic rupture as a late complication of toxemic pregnancy is a rare yet lethal condition requiring rapid recognition and surgical management. The clinical triad of toxemia, right upper quadrant pain, and sudden hypotension is the diagnostic hallmark of presentation. Most patients present near the time of delivery an...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(77)90333-6

    authors: Nelson EW,Archibald L,Albo D Jr

    更新日期:1977-12-01 00:00:00

  • Surgical management of renal cell carcinoma with inferior vena cava tumor thrombus.

    abstract:BACKGROUND:The successful excision of a renal cell carcinoma (RCC) invading the inferior vena cava (IVC) remains a technical intraoperative challenge and requires a careful preoperative surgical management planning. Although a radical operation remains the mainstay of the therapy for RCC, the optimal management of the ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(02)00782-1

    authors: Kaplan S,Ekici S,Doğan R,Demircin M,Ozen H,Paşaoğlu I

    更新日期:2002-03-01 00:00:00

  • Mallory-Weiss syndrome. Review of 69 cases.

    abstract::The records of patients treated for upper gastrointestinal bleeding from 1974 through 1978 were reviewed. Five percent of this group (69 patients) had bleeding due to the Mallory-Weiss syndrome. Only 36 percent of patients had a correct admitting diagnosis. Esophagogastroscopy proved the most reliable diagnostic tool,...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(81)90425-6

    authors: Hastings PR,Peters KW,Cohn I Jr

    更新日期:1981-11-01 00:00:00