Thyroid Nodules

被引:182
作者
Burman, Kenneth D. [1 ]
Wartofsky, Leonard
机构
[1] MedStar Washington Hosp Ctr, Endocrine Sect, Washington, DC 20010 USA
关键词
ROUTINE MEASUREMENT; SERUM CALCITONIN; MANAGEMENT; CANCER; NEEDLE; BENIGN; MUTATIONS; DIAGNOSIS; ULTRASOUND; EXPERIENCE;
D O I
10.1056/NEJMcp1415786
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
A 40-year-old woman presents with a thyroid nodule, 2.0 cm by 2.0 cm on palpation. The nodule, located on the right side of the gland, was found on routine physical examination. She has no history of childhood radiation exposure or family history of thyroid abnormalities. She reports no symptoms of nervousness, weight loss, palpitation, fatigue, or neck discomfort. Ultrasonography confirms a thyroid nodule, 2.0 cm by 2.0 cm by 2.5 cm (volume, 5.23 cm(3)), on the right side of the gland that does not have ultrasonographic characteristics associated with an increased risk of cancer; there is no cervical adenopathy. How should her case be managed?
引用
收藏
页码:2347 / 2356
页数:10
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