D. S. Tyler, D. J. Winchester, N. P. Caraway, R. C. Hickey and D. B. Evans, “Indeterminate Fine-Needle Aspiration Biopsy of the Thyroid: Identification of Subgroups at High Risk for Invasive Carcinoma,” Surgery, Vol. 116, No. 6, 1994, pp. 1054-1060.

has been cited by the following article:

• TITLE: The Utility of Fine-Needle Aspiration in the Diagnosis and Management of Follicular Thyroid Neoplasms:One Institution’s 10-Year Experience

  AUTHORS: Robert Deeb, Osama Alassi, Saurabh Sharma, Mei Lu, Tamer Ghanem

  KEYWORDS: Fine Needle Aspiration; Follicular; Thyroid; Adenoma; Carcinoma

  JOURNAL NAME: International Journal of Otolaryngology and Head & Neck Surgery, Vol.1 No.2, August 20, 2012

  ABSTRACT: Background: Classical teaching dictates that follicular adenoma (FA) can be distinguished from follicular carcinoma (FC) based on histologic features only. We retrospectively reviewed our institution’s 10-year experience in the use of fine-needle aspiration (FNA) to diagnose follicular thyroid neoplasms. Methods: Patients who had FNA of a thyroid neoplasm from 2000 to 2010 were reviewed. Diagnoses of FA, FC, or follicular neoplasm-not otherwise specified (NOS) were included. Cytopathological results were correlated with surgical pathology. Results: Of 138 patients, 65% underwent surgery. FNA diagnosis for FA had a sensitivity of 50% and specificity of 71%. 25% of patients with an FNA diagnosis of FA were found to have cancer after surgical specimen examination. FNA diagnosis for FC had a sensitivity of 60% and specificity of 94%. Conclusions: FNA has a low sensitivity for diagnosing FA. Surgical pathology remains the gold standard for differentiating follicular carcinoma from adenoma.