caa a22 4500 475803000 CHVBK 20180406123742.0 cr unu---uuuuu 170329e20000801xx s 000 0 eng 10.1007/s002680010175 doi (NATIONALLICENCE)springer-10.1007/s002680010175 Thyroid Nodules: Rational Management [Elektronische Daten] [Christopher K.M. Wong, Malcolm H. Wheeler] Thyroid nodules are the commonest disorder presenting to the endocrine surgeon. Most of the lesions are benign, but the principal problem facing the clinician is that of identifying the malignant nodule requiring surgery. Current diagnostic methods are reviewed, and the role of intraoperative frozen section in particular is examined in a series of 155 patients undergoing thyroidectomy for solitary thyroid nodule. It is concluded that when the fine-needle aspiration cytology (FNA) result is malignant intraoperative frozen section is unnecessary and contributes little to the management. Frozen section, however, is considered to be of value when the FNA result is reported as benign, suspicious, or inadequate. It permits identification of many malignant lesions that would otherwise require a second operation to complete a total thyroidectomy. Details of the indications for surgery and the operative strategy are discussed. Société Internationale de Chirurgie, 2000 Wong Christopher K.M. Department of Endocrine Surgery, University Hospital of Wales, Heath Park, Cardiff, Wales, UK CF4 4XW, GB aut Wheeler Malcolm H. Department of Endocrine Surgery, University Hospital of Wales, Heath Park, Cardiff, Wales, UK CF4 4XW, GB aut World Journal of Surgery Springer-Verlag 24/8(2000-08-01), 934-941 0364-2313 24:8<934 2000 24 268 https://doi.org/10.1007/s002680010175 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002680010175 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Wong Christopher K.M. Department of Endocrine Surgery, University Hospital of Wales, Heath Park, Cardiff, Wales, UK CF4 4XW, GB aut NATIONALLICENCE 700 1- Wheeler Malcolm H. Department of Endocrine Surgery, University Hospital of Wales, Heath Park, Cardiff, Wales, UK CF4 4XW, GB aut NATIONALLICENCE 773 0- World Journal of Surgery Springer-Verlag 24/8(2000-08-01), 934-941 0364-2313 24:8<934 2000 24 268 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer