Endocrine Abstracts (2017) 49 EP1478 | DOI: 10.1530/endoabs.49.EP1478

Cystic nodule and carcinoma of thyroid gland, diagnosis and treatment of cistic nodule

Snezana Mihajlovska & Marija Mihajlovska


1Department of Nuclear Medicine, Clinical Center ‘D-r Trifun Panovski’, Bitola, Macedonia; 2Department of Endocrinology, General Hospital ‘8-mi Septemvri’, Skopje, Macedonia.


The cystic nodule is by its origin a real or pseudo cyst. According to the date of literature the papillary thyroid carcinoma is being detected in the cystic nodule in up to 27% of the cases. Ultrasound is the best diagnostic method of the cystic nodule and fine needle aspiration under ultrasound examination is a diagnostic method for cytological diagnosis.

Results: Seventy patients with detected cystic nodule underwent fine needle aspiration and the aspirational content was cytopathologically examined. In 31/70/ (44.3%) of patients there was a complete discharge of the cyst. In 4/70/ (5.7%) there was partial discharge but without recidivans and in 35/70/ (50%) of patients there were recidivates of cystic contents. According to the fine needle pathohystological findings in nine patients was detected a malignancy (eight patients had papillary and one follicular carcinoma).

Conclusion: Cystic nodule in thyroid gland is diagnosed by using ultrasound. Fine needle aspiration is used for discharging of the cyst. Cysts which recidivate after few needle aspiration should be operated surgically, and the patient with proved carcinoma are cured according to the protocol for the treatment of thyroid malignant disease.

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