Approach to the patients with thyroid nodules
10.3760/cma.j.issn.1000-6699.2015.01.021
- VernacularTitle:甲状腺结节的临诊应对
- Author:
Qingguo LYU
;
Yuwei ZHANG
;
Nanwei TONG
- Publication Type:Journal Article
- Keywords:
Thyroid nodules;
Differential diagnosis;
Therapy
- From:
Chinese Journal of Endocrinology and Metabolism
2015;31(1):89-92
- CountryChina
- Language:Chinese
-
Abstract:
[Summary] Thyroid nodules are the most common endocrine and metabolic diseases,and most of them are accidental nodules.How to distinguish the state between benign and malignant thyroid nodules is the clinical core problems in diagnosis and treatment.In addition to detailed history collecting and physical examination,highresolution ultrasound,serum thyrotrophin levels,and fine needle aspiration biopsy (FNAB) form the basis for the diagnosis of thyroid nodules.Endocrinologists should grasp the indications of FNAB.When the pathological finding is unable to distinguish between benign and malignant nodules,molecular or genetic diagnosis should be adopted for further diagnosis.Appropriate treatment is selected according to the definitive results.In this article,we share the whole process that one case with thyroid nodule was diagnosed as papillary thyroid carcinoma and eventually treated with surgery,so as to make clinicians pay more attention to thyroid nodules with standardized clinical diagnosis and treatment.
