Abstract
Total thyroidectomy followed by surveillance of the neck and thyroid bed for recurrent disease is the mainstay of treatment for primary differentiated thyroid cancers. Ultrasound-guided fine needle aspiration (FNA) of the thyroid bed determines if the new lesion is recurrent thyroid cancer or residual hyperplastic thyroid tissue. The features of cytologic features of malignancy are usually similar to that in the primary tumor. Direct extension from head and neck squamous cell carcinoma as well as metastasis from a distant site can mimic thyroid bed recurrence of thyroid cancer. Benign entities may include hyperplasia of residual normal thyroid, normal parathyroid gland, benign lymph nodes, and benign reparative changes such as fibrosis and suture granulomas.
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Adeniran, A.J., Chhieng, D. (2016). Evaluation of Thyroid Bed Sampling. In: Common Diagnostic Pitfalls in Thyroid Cytopathology. Springer, Cham. https://doi.org/10.1007/978-3-319-31602-4_20
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DOI: https://doi.org/10.1007/978-3-319-31602-4_20
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