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Cystic thyroid nodules.

M K Ma, G B Ong

    The British Journal of Surgery
    |March 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Needle drill biopsy of thyroid nodules can resolve cystic lesions in some patients. However, many require further treatment, with nodular goiters being the most common indication for surgery.

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    Area of Science:

    • Endocrinology
    • Surgical Oncology
    • Pathology

    Background:

    • Thyroid nodules are common, and cystic lesions represent a significant subset.
    • Needle biopsy is a primary diagnostic tool for thyroid nodules.
    • The therapeutic potential of needle biopsy for cystic thyroid lesions is not fully elucidated.

    Purpose of the Study:

    • To evaluate the efficacy of needle drill biopsy in resolving cystic thyroid lesions.
    • To determine the proportion of patients with cystic thyroid nodules requiring further intervention after biopsy.

    Main Methods:

    • Retrospective analysis of 300 patients with thyroid nodules undergoing needle drill biopsy.
    • Identification of patients with cystic lesions (n=62).
    • Assessment of lesion resolution post-biopsy and subsequent treatment modalities.

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    Main Results:

    • Out of 62 patients with cystic thyroid nodules, 17 (27.4%) experienced complete resolution after biopsy.
    • 45 patients (72.6%) had residual or recurrent swellings requiring further management.
    • Surgery was performed on 35 patients, predominantly for nodular goiters (80%).

    Conclusions:

    • Needle drill biopsy offers a potential therapeutic benefit for a subset of cystic thyroid nodules.
    • A significant majority of cystic thyroid nodules persist or recur post-biopsy, necessitating further evaluation and treatment.
    • Nodular goiters are the most frequent indication for surgical intervention in patients with persistent cystic thyroid lesions.