Management of thyroid nodules.

Research output: Contribution to journalReview article

22 Citations (Scopus)

Abstract

This review describes the frequency of solitary thyroid nodules and their relationship to thyroid cancer. The importance of selecting patients appropriately for surgical excision is stressed. The factors predisposing to nodule formation and to a nodule being malignant are reviewed with emphasis that prior radiation exposure does not appear to increase the likelihood that a given nodule harbors a malignancy. In considering the laboratory evaluation of thyroid nodules, the limitations of isotope scans and ultrasonography are noted. Fine needle aspiration biopsy is described as revolutionizing the management of thyroid nodules and decreasing unnecessary operations. In the context of the natural history of differentiated thyroid cancer, the application of a decision analysis model to management options is described in some detail, and a cost-effective management regimen is recommended with fine needle aspiration biopsy as the initial procedure.

Original languageEnglish (US)
Pages (from-to)336-347
Number of pages12
JournalThe American journal of the medical sciences
Volume296
Issue number5
StatePublished - Jan 1 1988

Fingerprint

Thyroid Nodule
Fine Needle Biopsy
Thyroid Neoplasms
Decision Support Techniques
Natural History
Isotopes
Causality
Ultrasonography
Costs and Cost Analysis
Neoplasms

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Management of thyroid nodules. / Griffin III, Jim.

In: The American journal of the medical sciences, Vol. 296, No. 5, 01.01.1988, p. 336-347.

Research output: Contribution to journalReview article

@article{c25a4a2bfbf347a085b06e763132f842,
title = "Management of thyroid nodules.",
abstract = "This review describes the frequency of solitary thyroid nodules and their relationship to thyroid cancer. The importance of selecting patients appropriately for surgical excision is stressed. The factors predisposing to nodule formation and to a nodule being malignant are reviewed with emphasis that prior radiation exposure does not appear to increase the likelihood that a given nodule harbors a malignancy. In considering the laboratory evaluation of thyroid nodules, the limitations of isotope scans and ultrasonography are noted. Fine needle aspiration biopsy is described as revolutionizing the management of thyroid nodules and decreasing unnecessary operations. In the context of the natural history of differentiated thyroid cancer, the application of a decision analysis model to management options is described in some detail, and a cost-effective management regimen is recommended with fine needle aspiration biopsy as the initial procedure.",
author = "{Griffin III}, Jim",
year = "1988",
month = "1",
day = "1",
language = "English (US)",
volume = "296",
pages = "336--347",
journal = "The American journal of the medical sciences",
issn = "0002-9629",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

TY - JOUR

T1 - Management of thyroid nodules.

AU - Griffin III, Jim

PY - 1988/1/1

Y1 - 1988/1/1

N2 - This review describes the frequency of solitary thyroid nodules and their relationship to thyroid cancer. The importance of selecting patients appropriately for surgical excision is stressed. The factors predisposing to nodule formation and to a nodule being malignant are reviewed with emphasis that prior radiation exposure does not appear to increase the likelihood that a given nodule harbors a malignancy. In considering the laboratory evaluation of thyroid nodules, the limitations of isotope scans and ultrasonography are noted. Fine needle aspiration biopsy is described as revolutionizing the management of thyroid nodules and decreasing unnecessary operations. In the context of the natural history of differentiated thyroid cancer, the application of a decision analysis model to management options is described in some detail, and a cost-effective management regimen is recommended with fine needle aspiration biopsy as the initial procedure.

AB - This review describes the frequency of solitary thyroid nodules and their relationship to thyroid cancer. The importance of selecting patients appropriately for surgical excision is stressed. The factors predisposing to nodule formation and to a nodule being malignant are reviewed with emphasis that prior radiation exposure does not appear to increase the likelihood that a given nodule harbors a malignancy. In considering the laboratory evaluation of thyroid nodules, the limitations of isotope scans and ultrasonography are noted. Fine needle aspiration biopsy is described as revolutionizing the management of thyroid nodules and decreasing unnecessary operations. In the context of the natural history of differentiated thyroid cancer, the application of a decision analysis model to management options is described in some detail, and a cost-effective management regimen is recommended with fine needle aspiration biopsy as the initial procedure.

UR - http://www.scopus.com/inward/record.url?scp=0024118432&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0024118432&partnerID=8YFLogxK

M3 - Review article

C2 - 3057914

AN - SCOPUS:0024118432

VL - 296

SP - 336

EP - 347

JO - The American journal of the medical sciences

JF - The American journal of the medical sciences

SN - 0002-9629

IS - 5

ER -