Optimal management of benign thyroid nodules
10.3760/cma.j.issn.1000-6699.2016.08.019
- VernacularTitle:重视良性甲状腺结节的合理应对
- Author:
Shuhang XU
;
Chao LIU
- Publication Type:Journal Article
- Keywords:
Thyroid nodules;
Benign;
Management;
Follow-up
- From:
Chinese Journal of Endocrinology and Metabolism
2016;32(8):707-710
- CountryChina
- Language:Chinese
-
Abstract:
[Summary] Thyroid nodules are a common clinical problem, the majority of which are regarded as benign nodules by initial fine-needle aspiration biopsy(FNAB) or ultrasound characteristics. Given the low false negative rate of ultrasound-guided FNAB cytology and the higher yield of missed malignancies based upon nodule sonographic pattern, a routine sonographic surveillance is recommended to the thyroid nodules with benign cytology. If there are any sonographic evidence of growth or development of new suspicious sonographic features, the FNAB could be repeated. Treatment for benign thyroid nodules includes medications, percutaneous ethanol injection, thermal ablation and surgery. In order to avoid over-treatment, the potential harm and benefits of any intervention should be assessed.
