[Skip to Navigation]
Sign In
June 1997

Invited Commentary

Author Affiliations

Maine Medical Center Portland

Arch Surg. 1997;132(6):680. doi:10.1001/archsurg.1997.01430300122023

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


One of the more difficult tasks for pathologists and surgeons is to establish the preoperative or intraoperative diagnosis of minimally invasive follicular and Hürthle cell thyroid neoplasms. It is well known to experienced surgeons and pathologists that fine-needle aspirates of the thyroid gland are not dependable for the detection of such lesions. The best that a cytopathologist can do with aspirates in such cases is to alert the surgeon that a thyroid nodule may be a follicular or Hürthle cell neoplasm.

Intraoperatively, as the authors have stated, the pathologic diagnosis of minimally invasive follicular or Hürthle cell carcinomas is established by the demonstration of neoplasm invading through their capsules or into a vein. This is where controversy may begin. The authors clearly state that pathologic diagnoses at the Mayo Clinic are predominantly established by the examination of frozen sections. Hence, there are facilities and personnel to accommodate a large number

First Page Preview View Large
First page PDF preview
First page PDF preview
Add or change institution