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Management of 450 Cases

Irving B. Rosen, MD, FRCS (C); Paul G. Walfish, MD, FRCP (C); Murray Miskin, MD, FRCP (C)

Arch Surg. 1975;110(8):940-944.

Abstract
Four hundred fifty cases of thyroid enlargement were studied by B-mode ultrasonography. Specific ultrasonographic patterns could be established for cyst, solid tumors, multinodular goiter, cystadenoma, and thyroiditis. Benign and malignant tissue could not be differentiated. In 155 cases, tissue diagnosis was established usually by operation but also by aspiration cytology. One hundred forty-two were hypofunctioning solitary nodules. The reliability of ultrasonographic diagnosis was 94%. It permitted safe aspiration of cysts, early operation of solid lesions, and avoidance of radiation hazard in the management of pregnant and pediatric patients. Our operative series showed the following incidences: cancer 16%, cyst 20%, and neoplasm 62%.

Author Affiliations
From the departments of surgery (Dr. Rosen), medicine (Dr. Walfish), and radiological sciences (Dr. Miskin), Mount Sinai Hospital and the University of Toronto Medical School, Toronto.

Footnotes
Accepted for publication March 14, 1975.

Read before the 32nd annual meeting of the Central Surgical Association, Chicago, Feb 28, 1975.

Reprint requests to Mount Sinai Hospital, Suite 445, 600 University Ave, Toronto M5G 1X5, Canada (Dr. Rosen).

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