Cancer in Thyroid Nodules

W. A. Reynolds, MD
Arch Intern Med. 1984;144(11):2287-2288. doi:10.1001/archinte.1984.04400020221048.
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To the Editor.—I would like to comment on the article by Werk et al1 in the March Archives. Werk et al stated that fine-needle aspiration is probably not suited for most community hospitals, since it has been stated that ten per week is necessary to maintain expertise. I would take a strong exception to that statement. I am a general internist with an interest in endocrinology, having had no previous formal training in aspiration technique. I began aspirating thyroid nodules using a fine needle approximately five years ago after attending an Endocrine Day program at the University of Washington, Seattle. A staff pathologist at that institution, who was skilled and willing to review our slides, made it possible to obtain an expert consultation by mail. Since that time, I have aspirated nearly all thyroid nodules and some goiters that have been referred to me. At present I have


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