Thyroid Nodules
Thyroid Nodules
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DOI：
10.1056/nejmcp1415786
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发表时间：
2015-12-10
影响因子：
158.5
通讯作者：
Wartofsky, Leonard
中科院分区：
文献类型：
--
作者：
Burman, Kenneth D.;Wartofsky, Leonard
一位40岁的女性，触诊发现一个2.0 cm × 2.0 cm的甲状腺结节。结节位于腺体右侧，是在常规体检中发现的。她没有儿童辐射暴露史或甲状腺异常家族史。她没有报告紧张、体重减轻、心悸、疲劳或颈部不适的症状。超声检查证实甲状腺结节，2.0 cm × 2.0 cm × 2.5 cm（体积5.23 cm（3）），位于腺体右侧，没有与癌症风险增加相关的超声特征;没有颈部腺病。她的案子应该如何处理？
A 40-year-old woman presents with a thyroid nodule, 2.0 cm by 2.0 cm on palpation. The nodule, located on the right side of the gland, was found on routine physical examination. She has no history of childhood radiation exposure or family history of thyroid abnormalities. She reports no symptoms of nervousness, weight loss, palpitation, fatigue, or neck discomfort. Ultrasonography confirms a thyroid nodule, 2.0 cm by 2.0 cm by 2.5 cm (volume, 5.23 cm(3)), on the right side of the gland that does not have ultrasonographic characteristics associated with an increased risk of cancer; there is no cervical adenopathy. How should her case be managed?