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
收藏
页码：190 / 195
页数：6
相关论文
共 27 条
  • [1] The thyroid cancer epidemic: Is it the dark side of the CT revolution?
    Baker, Stephen R.
    Bhatti, Waseem A.
    [J]. EUROPEAN JOURNAL OF RADIOLOGY, 2006, 60 (01) : 67 - 69
  • [2] Treatment of recurrent thyroid cysts with ethanol:: A randomized double-blind controlled trial
    Bennedbæk, FN
    Hegedüs, L
    [J]. JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2003, 88 (12) : 5773 - 5777
  • [3] EVALUATION AND MANAGEMENT OF THE SOLID THYROID-NODULE
    BURCH, HB
    [J]. ENDOCRINOLOGY AND METABOLISM CLINICS OF NORTH AMERICA, 1995, 24 (04) : 663 - +
  • [4] SUSPICIOUS THYROID CYTOLOGIC FINDINGS - OUTCOME IN PATIENTS WITHOUT IMMEDIATE SURGICAL-TREATMENT
    CERSOSIMO, E
    GHARIB, H
    SUMAN, VJ
    GOELLNER, JR
    [J]. 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
    Cheung, Kevin
    Roman, Sanziana A.
    Wang, Tracy S.
    Walker, Hugh D.
    Sosa, Julie Ann
    [J]. 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
    COCHANDPRIOLLET, B
    GUILLAUSSEAU, PJ
    CHAGNON, S
    HOANG, C
    GUILLAUSSEAUSCHOLER, C
    CHANSON, P
    DAHAN, H
    WARNET, A
    HUY, PTB
    VALLEUR, P
    [J]. 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
    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
    [J]. THYROID, 1998, 8 (09) : 737 - 744
  • [8] Increasing incidence of thyroid cancer in the United States, 1973-2002
    Davies, L
    Welch, HG
    [J]. 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
    Elisei, R
    Bottici, V
    Luchetti, F
    Di Coscio, G
    Romei, C
    Grasso, L
    Miccoli, P
    Iacconi, P
    Basolo, F
    Pinchera, A
    Pacini, F
    [J]. JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2004, 89 (01) : 163 - 168
  • [10] Gharib H, 1995, Endocr Pract, V1, P410
123