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A Clinically Useful Diagnostic Procedure?

E. L. Bradley, III, MD

AMA Arch Surg. 1972;104(5):662-666.

Abstract
In a study of eight patients with thyroid nodules, preoperative angiographic differentiation was correctly made in each case as shown by subsequent histologic confirmation. The criteria for malignancy are (1) increased vascularity, (2) irregular contrast loading, (3) presence of "tumor" vessels, (4) vascular supply from ascending or superficial cervical arteries, and (5) ragged periph eral contour of gland. These initial studies suggest that angiography can make a distinction in many cases. Whether this technique will ever be sufficiently reliable to make definitive decisions remains to be de termined.

Author Affiliations
Atlanta

From the Joseph B. Whitehead Department of Surgery, Emory University School of Medicine, Atlanta.

Footnotes
Accepted for publication Nov 16, 1971.

Reprint requests to 69 Butler St, SE, Atlanta 30303 (Dr. Bradley).

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