Management of a solitary thyroid nodule.
Management of a solitary thyroid nodule.
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DOI：
10.1056/nejm199302253280807
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发表时间：
1993-02
期刊：
影响因子：
--
通讯作者：
E. Mazzaferri
中科院分区：
文献类型：
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作者：
E. Mazzaferri
孤立性甲状腺结节被定义为在看似正常的腺体内明显离散的肿胀，通常是良性病变。然而，患者和医生通常都担心甲状腺癌的可能性。这篇综述描述了一种治疗临床甲状腺功能正常的孤立性甲状腺结节患者的策略，该策略可以防止不必要的检查，同时确定少数需要治疗的患者。近年来，治疗方法发生了变化，但对于哪些结节应手术切除仍存在重要的意见分歧。最近的几篇评论全面解决了这些问题1-3。甲状腺结节和癌症的患病率。 。 。
The solitary thyroid nodule, defined as a palpably discrete swelling within an otherwise apparently normal gland, is usually a benign lesion. However, patient and physician alike are typically concerned about the possibility of thyroid cancer. This review describes a strategy for the treatment of clinically euthyroid patients who have a solitary thyroid nodule that prevents unnecessary testing while identifying the few patients who require therapy. Management has changed in recent years, but important differences of opinion remain over which nodules should be surgically excised. Several recent reviews address these issues comprehensively1–3. Prevalence of Thyroid Nodules and Cancer The . . .