EVALUATION AND MANAGEMENT OF THE SOLID THYROID-NODULE

Physicians who are responsible for the care of patients with thyroid nodules are increasingly aware of the need for safe, expedient, and cost-effective management of this common disorder. Recent information has led to a questioning of both the safety and efficacy of established management practices for patients with thyroid nodules. Optimal management is contingent on a careful synthesis of factors such as patient preference, clinical and laboratory indicators of malignancy, and a current understanding of the benefit and potential harm inherent in conservative (i.e., nonsurgical) management. The advantages and limitations of various diagnostic tools and management practices are reviewed, and a practical approach is suggested for the evaluation and treatment of the thyroid nodule.