Fine needle biopsy and scintigram in the preoperative diagnosis of XXXX .

@entity1 @entity1377 @entity5 @entity189 @entity4383 @entity259 @entity1374
Fine needle biopsies (FNB) of the thyroid were examined from 860 @entity1 . In 703 cases follicular cells without atypia were found and in this group of @entity1 the clinical diagnosis was @entity4383 . Operations were performed in 138 @entity1 and in 97 cases the cytological finding could be correlated to the histopathological diagnosis. In 33 of these @entity1 @entity259 was histologically verified. In 26 of the @entity189 cases cytologic examination showed grave atypia or changes indicating @entity189 . The cases in which the cytological diagnoses were falsely negative are discussed. Moderate cellular atypia occurred in one case with @entity1377 . In two cases the cytological examination gave a false positive diagnosis of @entity5 , both representing @entity1374 of the lymphoid type. The scintigrams in @entity1 with @entity259 are also presented. Cold nodules were found in 10/19 @entity1 and a hot nodule in .1 @entity1 . In 3 @entity1 the scintigrams were normal and in another 5 inconclusive. The results indicate that thyroid scintigrams can only be used as a supplement to the physical examination and a guidance for FNB. The contribution of FNB in the decision to operate is discussed and it is concluded that FNB is a valuable adjunct in preoperative diagnosis of @entity1374 . The best diagnostic results are obtained when there is a close cooperation between clinician, radiologist, cytologist and pathologist.
