Evaluation of the thyroid nodule

被引：10

作者：

Ghassi, D. ^{[1
]}

Donato, A. ^{[1
]}

机构：

[1] Reading Hosp Med Ctr, Dept Internal Med, Philadelphia, PA USA

来源：

POSTGRADUATE MEDICAL JOURNAL | 2009年 / 85卷 / 1002期

关键词：

INCREASING INCIDENCE; UNITED-STATES; CANCER; MANAGEMENT; DISEASE; SUPPRESSION; GUIDELINES; CALCITONIN; THERAPY; ETHANOL;

D O I：

10.1136/pgmj.2008.072140

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The annual incidence of thyroid cancer worldwide is 1 case per 100 000 men and 2.6 cases per 100 000 women. Most thyroid nodules are asymptomatic and are discovered incidentally on physical examination, self-palpation or incidentally on imaging studies performed for unrelated reasons. Although the majority of both palpable and non-palpable thyroid nodules are benign, similar to 5% may represent thyroid cancer. Thyroid-stimulating hormone, thyroid ultrasound and fine-needle aspiration biopsy are key tests to guide management. Physicians caring for patients with thyroid nodules need to develop a rational, cost-effective approach to ordering and interpreting imaging and diagnostic tests in the evaluation of the thyroid nodule.

引用

页码：190 / 195

页数：6

共 27 条

[1] The thyroid cancer epidemic: Is it the dark side of the CT revolution? [J].

Baker, Stephen R. ;

Bhatti, Waseem A. .

EUROPEAN JOURNAL OF RADIOLOGY, 2006, 60 (01) :67-69

[2] Treatment of recurrent thyroid cysts with ethanol:: A randomized double-blind controlled trial [J].

Bennedbæk, FN ;

Hegedüs, L .

JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2003, 88 (12) :5773-5777

[3] EVALUATION AND MANAGEMENT OF THE SOLID THYROID-NODULE [J].

BURCH, HB .

ENDOCRINOLOGY AND METABOLISM CLINICS OF NORTH AMERICA, 1995, 24 (04) :663-+

[4] SUSPICIOUS THYROID CYTOLOGIC FINDINGS - OUTCOME IN PATIENTS WITHOUT IMMEDIATE SURGICAL-TREATMENT [J].

CERSOSIMO, E ;

GHARIB, H ;

SUMAN, VJ ;

GOELLNER, JR .

MAYO CLINIC PROCEEDINGS, 1993, 68 (04) :343-348

[5] Calcitonin measurement in the evaluation of thyroid nodules in the United States: A cost-effectiveness and decision analysis [J].

Cheung, Kevin ;

Roman, Sanziana A. ;

Wang, Tracy S. ;

Walker, Hugh D. ;

Sosa, Julie Ann .

JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2008, 93 (06) :2173-2180

[6] THE DIAGNOSTIC-VALUE OF FINE-NEEDLE ASPIRATION BIOPSY UNDER ULTRASONOGRAPHY IN NONFUNCTIONAL THYROID-NODULES - A PROSPECTIVE-STUDY COMPARING CYTOLOGIC AND HISTOLOGIC-FINDINGS [J].

COCHANDPRIOLLET, B ;

GUILLAUSSEAU, PJ ;

CHAGNON, S ;

HOANG, C ;

GUILLAUSSEAUSCHOLER, C ;

CHANSON, P ;

DAHAN, H ;

WARNET, A ;

HUY, PTB ;

VALLEUR, P .

AMERICAN JOURNAL OF MEDICINE, 1994, 97 (02) :152-157

[7] Thyrotropin suppression and disease progression in patients with differentiated thyroid cancer: Results from the National Thyroid Cancer Treatment Cooperative Registry [J].

Cooper, DS ;

Specker, B ;

Ho, M ;

Sperling, M ;

Ladenson, PW ;

Ross, DS ;

Ain, KB ;

Bigos, ST ;

Brierley, JD ;

Haugen, BR ;

Klein, I ;

Robbins, J ;

Sherman, SI ;

Taylor, T ;

Maxon, HR .

THYROID, 1998, 8 (09) :737-744

[8] Increasing incidence of thyroid cancer in the United States, 1973-2002 [J].

Davies, L ;

Welch, HG .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2006, 295 (18) :2164-2167

[9] Impact of routine measurement of serum calcitonin on the diagnosis and outcome of medullary thyroid cancer: Experience in 10,864 patients with nodular thyroid disorders [J].

Elisei, R ;

Bottici, V ;

Luchetti, F ;

Di Coscio, G ;

Romei, C ;

Grasso, L ;

Miccoli, P ;

Iacconi, P ;

Basolo, F ;

Pinchera, A ;

Pacini, F .

JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2004, 89 (01) :163-168

[10]

Gharib H, 1995, Endocr Pract, V1, P410

← 1 2 3 →