Abstract
Surgical biopsy has been recommended for all thyroid nodules in children because of the risk of thyroid cancer. Our 3-year experience with fine needle aspiration biopsy of the thyroid (FNA) was reviewed to determine whether some patients with thyroid nodule could be safely followed without surgical biopsy. 17 patients, ranging in age from 5-17 years, received FNA. Based on cytologic and clinical findings, it was determined whether surgery or observation was indicated. The following diagram illustrates the results. We conclude that FNA may be used for diagnostic evaluation of thyroid nodules in children and may reduce the number of patients requiring surgical biopsy.
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