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- Title
Usefulness of ultrasonography in the management of nodular thyroid disease.
- Authors
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
- Abstract
<bold>Background: </bold>Fine-needle aspiration biopsy is the standard diagnostic test for evaluating possible malignancy in a thyroid nodule.<bold>Objective: </bold>To evaluate the role of routine ultrasonography in the management of nodular thyroid disease.<bold>Design: </bold>Retrospective chart review.<bold>Setting: </bold>Multidisciplinary thyroid nodule clinic (endocrinology and radiology).<bold>Patients: </bold>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.<bold>Measurements: </bold>Medical records, ultrasonography findings, cytology reports, and histologic reports were reviewed. Ultrasonography findings were compared with the referring physician's findings on physical examination.<bold>Results: </bold>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.<bold>Conclusions: </bold>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.
- Subjects
THYROID diseases; ULTRASONIC imaging; DISEASE management
- Publication
Annals of Internal Medicine, 2000, Vol 133, Issue 9, p696
- ISSN
0003-4819
- Publication type
journal article
- DOI
10.7326/0003-4819-133-9-200011070-00011