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J. C. WATKINSON, MB, MSc, MS, FRCS, FICS, DLO
London, England

Arch Otolaryngol Head Neck Surg. 1992;118(4):447-448.

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To the Editor.—I read with interest the article by Lando et al¹ that appeared in the ARCHIVES and would like to make some additional comments. With regard to the preoperative evaluation for patients with a thyroid nodule, I do not think that the first investigation that is obtained need be a fine-needle aspirate. The crucial question then is how the solitary thyroid nodule should be evaluated.

There is no doubt that the most common way for thyroid cancer to present is as a palpable solitary thyroid nodule in a euthyroid patient when the likelihood of malignancy is between 5% and 10%. Because of this risk of malignancy, there has been much interest recently devoted to the evaluation of the palpable solitary thyroid nodule.^2-4 Some authors prefer to evaluate a nodule by palpation and fine-needle aspiration (FNA), others use palpation with ultrasound and FNA, while some favor the . . . [Full Text PDF of this Article]

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