| Autor: |
Marqusee, Ellen, Benson, Carol B., Frates, Mary C., Doubilet, Peter M., Larsen, P. Reed, Cibas, Edmund S., Mandel, Susan J., Marqusee, E, Benson, C B, Frates, M C, Doubilet, P M, Larsen, P R, Cibas, E S, Mandel, S J |
| Předmět: |
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| Zdroj: |
Annals of Internal Medicine; 11/7/2000, Vol. 133 Issue 9, p696-700, 5p |
| Abstrakt: |
Background: Fine-needle aspiration biopsy is the standard diagnostic test for evaluating possible malignancy in a thyroid nodule.Objective: To evaluate the role of routine ultrasonography in the management of nodular thyroid disease.Design: Retrospective chart review.Setting: Multidisciplinary thyroid nodule clinic (endocrinology and radiology).Patients: Patients with suspected nodular thyroid disease or suspected recurrent thyroid cancer referred between October 1995 and March 1997. All patients had thyroid ultrasonography and ultrasonography-guided fine-needle aspiration biopsy of nodules at least 1 cm in maximum diameter.Measurements: Medical records, ultrasonography findings, cytology reports, and histologic reports were reviewed. Ultrasonography findings were compared with the referring physician's findings on physical examination.Results: 223 patients were seen in the clinic. A total of 209 fine-needle aspiration biopsies were performed on 156 patients. Among 50 of 114 patients referred for a solitary nodule, ultrasonography detected additional nonpalpable nodules at least 1 cm in diameter in 27 and determined that no nodules required aspiration in 23. Of 59 patients referred for a diffuse goiter or a multinodular gland, ultrasonography detected discrete nodules at least 1 cm in diameter that required aspiration in 39 and determined that aspiration was unnecessary in 20.Conclusions: Ultrasonography altered the clinical management for 63% of the patients (109 of 173) referred to the thyroid nodule clinic after abnormal results on thyroid physical examination. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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