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首页> 外文期刊>European thyroid journal >Nodules <=1 cm with Highly Suspicious Ultrasound Features and Papillary Microcarcinoma of the Thyroid: Is Fine-Needle Aspiration Cytology Necessary before Deciding on Active Surveillance?
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Nodules <=1 cm with Highly Suspicious Ultrasound Features and Papillary Microcarcinoma of the Thyroid: Is Fine-Needle Aspiration Cytology Necessary before Deciding on Active Surveillance?

机译：结节<= 1cm，具有高度可疑的超声特征和甲状腺微生物微癌：在决定主动监测之前是必需的细针穿刺细胞学吗？

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摘要

Dear Editor, Recently, Russ et al. [1] endorsed active surveillance for low-risk papillary micro-carcinoma of the thyroid (PMT). It is also reasonable to imagine that, if immediate treatment is not necessary, fine-needle aspiration (FNA) of corresponding nodules < 1 cm could be postponed until therapy is considered. This is the recommendation of the European Thyroid Association (ETA) [1] and American Thyroid Association (ATA) [2]. Although I agree that active surveillance is an option for low-risk PMT, I believe that FNA should precede this decision. At our institution, nodules with highly suspicious features on ultrasonography (US) are always submitted to FNA (irrespective of size) and the latter is repeated when cytology is commenced [3,4]. We revised 181 patients with 198 nodules < 1 cm that were highly suspicious and apparently restricted to the thyroid on US [5].
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