The Incidental Thyroid Nodule
The Incidental Thyroid Nodule
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DOI：
10.3322/caac.21447
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发表时间：
2018-03-01
影响因子：
254.7
通讯作者：
Perrier, Nancy D.
中科院分区：
文献类型：
--
作者：
Fisher, Sarah B.;Perrier, Nancy D.
由于甲状腺病理以外的原因进行的影像检查中发现的偶发性甲状腺结节是卫生保健提供者遇到的常见情况。对这些结节的初步检查包括彻底的病史和体格检查、甲状腺功能测试、专用甲状腺超声和任何可疑病变的细针抽吸。治疗范围从观察和保证到手术切除，并取决于细胞学诊断。对于细胞学不确定或不一致的结节，手术切除(肺叶切除术)可以提供明确的诊断，尽管分子检测或合理的观察时间可能是侵袭性较小的辅助手段。(C)2018年美国癌症协会。
Incidental thyroid nodules that are found on an imaging study performed for reasons other than thyroid pathology represent a common scenario encountered by health care providers. The initial workup for these nodules comprises a thorough history and physical examination, thyroid function tests, a dedicated thyroid ultrasound, and fine-needle aspiration of any suspicious lesions. Management ranges from observation and reassurance to surgical resection and depends on the cytologic diagnosis. In cases of cytologically indeterminate or discordant nodules, surgical excision (lobectomy) offers a definitive diagnosis, although molecular testing or a reasonable period of observation may be useful as less invasive adjuncts. (C) 2018 American Cancer Society.