This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
[{'content': 'FNAC is useful in all the following types of thyroid carcinoma except - \nSelect and explain. \nA. Papillary, B. Follicular, C. Anaplastic, D. Medullary', 'role': 'user'}, {'content': 'Answer: B \nExplanation: "FNA biopsy is unable to distinguish benign follicular lesions from follicular carcinoma. Therefore, preoperative diagnosis of cancer is difficult unless distant metastases are present. Large follicular tumors (> 4 cm) in older men are more likely to be malignant." - Schwartz Surgery\nFNAC is the investigation of choice for solitary thyroid nodules.\nIt cannot distinguish between a Follicular Adenoma and a Follicular Carcinoma as this distinction is dependent not on cytology but on histological criteria such as capsular and vascular invasion. It thus cannot be used to diagnose follicular carcinomas.\n\nNote here that -\nThe criteria for vascular invasion is applicable only for capsular vessels and vessels outside the capsule. the presence of tumor plugs within intratumoral blood vessels has little prognostic significance', 'role': 'assistant'}]