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- Title
Thyroid incidentalomas: to treat or not to treat.
- Authors
Iyer, N. G.; Shaha, Ashok R.; Silver, Carl E.; Devaney, Kenneth O.; Rinaldo, Alessandra; Pellitteri, Phillip K.; Ferlito, Alfio
- Abstract
Incidental lesions of the thyroid gland are an increasing problem facing clinicians. While asymptomatic palpable lesions are detected in only 4–7% of the population, currently available imaging modalities are sensitive enough to detect lesions in 20–30% of the population. Guidelines for managing these incidentalomas are limited, largely due to lack of well-powered prospective studies. This review will address the currently available data on thyroid incidentalomas, detected through clinical examination, cross-sectional imaging, ultrasound, and PET scans. We will focus on the modalities of detection and risk of malignancy, further investigation and management options and the deficiencies therein. We propose a pragmatic algorithm when faced with this clinical dilemma under differing circumstances.
- Subjects
THYROID gland; MEDICAL personnel; MEDICAL imaging systems; ENDOCRINE glands; DATA analysis
- Publication
European Archives of Oto-Rhino-Laryngology, 2010, Vol 267, Issue 7, p1019
- ISSN
0937-4477
- Publication type
Article
- DOI
10.1007/s00405-010-1207-1