Management of thyroid nodules
A solitary thyroid nodule can be felt in 4–7% of the adult population [1–4]. At autopsy, the incidence of thyroid nodules in one series was almost 50%, but this is not the same as clinically palpable abnormalities , Whenever a thyroid nodule is discovered the question arises: is it benign, or malignant? It is not easy to find a reliable figure of what percentage of thyroid nodules are malignant; the usually quoted figures of 20–30% are based on the results of surgery, and are biased in favour of high-risk cases [6–8]. Miller  states that 4% of non-suspicious thyroid nodules are malignant. Based on the results of fine-needle aspirate (FNA), which are discussed later, the range appears to be 5–10%.
KeywordsCobalt Iodine Adenoma Radionuclide Straw
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- 7.Greenspan, F.S. (1974) Thyroid nodules and thyroid cancer. West]. Med., 121, 359–65.Google Scholar
- 9.Miller, J.M. (1979) Perspective, in Clinical-Pathology Evaluation of Thyroid Nodules. Handbook and Atlas, (eds J.I. Hamburger, J.M. Miller and S.R. Kini), Southfield, Private Publication, pp. 87–91.Google Scholar
- 10.Cancer statistics (1990) Ca-A Cancer J for Clinicians, 39, 9–26.Google Scholar
- 11.Beahrs, O.H. (1976) Indications for excision of the clinically solitary thyroid nodule, in Controversy in Surgery, (eds R.L. Varco and J.P. Delaney), Saunders, Philadelphia, pp. 153–8.Google Scholar
- 12.Cassidy, C.E. (1976) Treatment of the clinically solitary thyroid nodule with thyroid hormone, in Controversy in Surgery, (eds R.L. Varco and J. P. Delaney), Saunders, Philadelphia, pp. 143–52.Google Scholar
- 13.Hempelmann, L.H., Pifer, J.W., Burke, G.J. et al. (1967) Neoplasms in persons treated with X rays in infancy for thymic enlargement: a report of the third follow-up survey. J. Natl Cancer Instit., 38, 317–41.Google Scholar
- 18.Hamburger, J.I. and Stoffer, S.S. (1977) Late thyroid sequelae of radiation therapy to the upper body, in Radiation-Associated Thyroid Carcinoma, (eds L.J. De Groot et al.) Grune and Stratton, New York, pp. 17–31.Google Scholar
- 19.Murphy, E.D., Scanion, E.F., Swelstad, J.A. et al. (1977) A community hospital thyroid recall clinic for irradiated patients, in Radiation-Associated Thyroid Carcinoma, (eds L.J. De Groot et al.), Grune and Stratton, New York, pp. 35–40.Google Scholar
- 23.Shimaoka, K. (1973) Toxic adenoma of the thyroid with triiodothyronine as the principal circulating thyroid hormone. Acta Endocrinol., 43, 285–93.Google Scholar
- 41.Hamburger J.I. and Hamburger, S.W. (1986) Fine needle biopsy of thyroid nodules: avoiding the pitfalls. New York St. Med. J., 86, 241–19.Google Scholar
- 58.Greenspan, F.S. (1974) Thyroid nodules and thyroid cancer. West J. Med., 121, 306–10.Google Scholar