Abstract
Ceylon Journal of Otolaryngology(CJO) is the official journal of the College of Otorhinolaryngologists and Head and Neck Surgeons of Sri lanka. The mission of the CJO is to Promote research in the field of otorhinolaryngology within Sri Lanka and beyond.The journal invites original papers of clinical, operative and experimental work, as well as important contributions related to ENT, and related sub disciplines including laryngology, rhinology, otology, head and neck surgery, neurotology, aesthetic surgery and oncology.
Highlights
A solitary nodule in the thyroid could be a colloid cyst, a dominant hyperplastic nodule in a multinodular goiter, a follicular adenoma or carcinoma or any other type of thyroid malignancy
As some studies have claimed a sensitivity and specificity of over 90%, Fine needle aspiration (FNA) is recommended as the initial step in the evaluation of solitary thyroid nodules [1, 2]
Despite thyroid cytology being widely used as a first-line investigation to guide clinical management, until recently, there was no standardized terminology for FNA reporting [4]
Summary
A solitary nodule in the thyroid could be a colloid cyst, a dominant hyperplastic nodule in a multinodular goiter, a follicular adenoma or carcinoma or any other type of thyroid malignancy. It is important to note that cellularity alone is not sufficient to include smears in the follicular neoplasm or suspicious for follicular neoplasm (FN/ SFN) category (BSRTC category 4). This categorization is done by cytopathologists, clinicians should be aware of this potential pitfall especially if the cytopathology report is FN/SFN, when the lesion is ultrasonically and clinically benign [6].
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