Endocrine. 2014 Jun 13. [Epub ahead of print]
Ultrasonography, FNA, mutations, hormones and thyroid nodule obsession in the twenty-first century: a cytopathologist's plea for reason in the age of thyroid storm.
Author information
- Division of Cytopathology, Department of Pathology, University of Texas Medical Branch, Galveston, TX, 77555-0548, USA, vschnadi@utmb.edu.
"Once, the physician had only observing eyes, listening ears, skilled fingers and the humble stethoscope. Then, came the roentgenogram and limited use of the ultrasound machine [1]. Next came computerized tomography (CT), high-resolution imaging and a bourgeoning use of thyroid ultrasonography (US) instigated by CT, MRI and carotid screening incidentalomas. This US explosion has led us to a new overwhelming question. Is it good? Thyroid US-related publications have amplified from 7 in 1965–1970, to over 600 in the early 2000’s [1]. A 2014 PubMed search of “ultrasonography of the thyroid” yields more than 6,000 titles. This amount of publications is minuscule compared to the number of thyroid ultrasound examinations and US-guided FNA performed yearly. Radiologists, endocrinologists, otolaryngologists, surgeons and pathologists wield US machines and FNA needles. Will thyroid US screening and FNA soon be offered at our local shopping malls? "
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