作者: Christopher D. Lansford , Theodoros N. Teknos
DOI: 10.1177/107327480601300202
关键词: Nodule (medicine) 、 Medicine 、 Radiology 、 Thyroid 、 Carcinoma 、 Ultrasonography 、 Thyroid nodules 、 General algorithm 、 Physical examination 、 Aspiration biopsy
摘要: Background: Thyroid nodules are common, yet treatment modalities range from observation to surgical resection. Because thyroid frequently found incidentally during routine physical examination or imaging performed for another reason, physicians a diverse of specialties encounter nodules. Clinical decision making depends on proper evaluation the nodule. Methods: The current literature was reviewed and synthesized. Results: Current evidence allows formulation recommendations general algorithm evaluating incidental Conclusions: Only small percentage require management. Diagnosis selection risk stratification by history, examination, ancillary tests. Nodules causing airway compression those at high carcinoma should prompt treatment. In larger than 1 cm, fine-needle aspiration biopsy is central as it accurate, low risk, cost effective. Subcentimeter nodules, often obtained purpose, can usually be evaluated ultrasonography. Other laboratory evaluations have specific more limited roles. An nodule presented.