Medical College of Wisconsin
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Management of follicular tumors of the thyroid. Minerva Chir 2007 Oct;62(5):373-82

Date

10/20/2007

Pubmed ID

17947948

Scopus ID

2-s2.0-36649007654 (requires institutional sign-in at Scopus site)   9 Citations

Abstract

The incidence of well-differentiated thyroid cancers is rising. Follicular cancer represents 10-20% of these lesions. While the vast majority of thyroid nodules of follicular origin are benign, fine needle aspiration cannot provide cytologic evidence of capsular and/or vascular invasion; therefore, patients should undergo surgical excision. Frozen section is not recommended for intraoperative evaluation of follicular neoplasia. Patients deemed to have follicular cancer require near-total or total thyroidectomy and postoperative (131)I ablation. The optimal management of minimally invasive follicular cancer remains an area of controversy, but long-term prognosis for these patients is excellent. Areas of research should focus on identification of molecular markers of malignancy and aggressiveness of follicular neoplasia.

Author List

Wang TS, Roman SA, Sosa JA

Author

Tracy S. Wang MPH, MD Professor in the Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adenocarcinoma, Follicular
Biopsy, Fine-Needle
Humans
Incidence
Prognosis
Risk Factors
Thyroid Neoplasms
Thyroidectomy
Treatment Outcome