Takeichi N, Ito H, Okamoto H, Matsuyama T, Tahara E, Dohi K
Department of Surgery, Hiroshima University School of Medicine, Japan.
Jpn J Surg. 1989 Nov;19(6):674-8. doi: 10.1007/BF02471717.
A review of ten surgical cases of medullary carcinoma of the thyroid (MCT) demonstrates the usefulness of establishing a preoperative cytological diagnosis through the immunochemical staining of calcitonin (CT) and CEA in fine-needle aspiration (FNA) biopsy smears. If MCT is suspected after routinely performing May-Grünwald-Giemsa stained cytology of an FNA biopsy in the outpatient clinic, then CT and CEA staining is recommended for confirmation of MCT. The advantages of this immunochemical staining include that it can be carried out in the outpatient clinic within one day and also that it is much less costly than measuring serum CT and CEA.