Malignancy rate in nondominant nodules in patients with multinodular goiter: Experience with 1,606 cases evaluated by ultrasound-guided fine needle aspiration cytology.

Background: Conventional medical sources recommend the use of fine needle aspiration cytology (FNAC) for single thyroid nodules and the dominant nodule in multinodular goiter (MNG). The purpose of the present study was to analyze the utility of FNAC for multiple thyroid nodules in patients with MNG and to determine the rate of malignancy in teh nondominant nodules.

Materials And Methods: Our private practice performed ultrasound-guided FNAC on 1,606 patients between February 2001 and February 1, 2010.

Necessity for additional incisions with the cervical collar incision to remove retrosternal goiters.

Purpose: Retrosternal goiters (RSGs) can be removed transcervically, but additional incisions are sometimes necessary. We examined the factors determining the need for additional incisions to remove an RSG goiter, based on our experience and on an algorithm.

Methods: Among 499 patients who underwent surgery for a goiter, 52 (10.