Thyroid incidentalomas: To treat or not to treat Journal Article
| Authors: | Iyer, N. G.; Shaha, A. R.; Silver, C. E.; Devaney, K. O.; Rinaldo, A.; Pellitteri, P. K.; Ferlito, A. |
| Article Title: | Thyroid incidentalomas: To treat or not to treat |
| 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. © Springer-Verlag 2010. |
| Keywords: | treatment outcome; histopathology; review; nuclear magnetic resonance imaging; positron emission tomography; lymph node metastasis; cancer diagnosis; diagnostic accuracy; computer assisted tomography; diagnosis, differential; tumor volume; risk factors; diagnostic imaging; algorithms; risk factor; ultrasound; health care cost; incidental findings; laboratory test; echography; computer assisted emission tomography; thyroidectomy; cross-sectional study; thorax radiography; physical examination; aspiration biopsy; thyroid nodule; decision making; pet; management; thyroid papillary carcinoma; thyroid; fluorodeoxyglucose; clinical examination; incidental lesions; thyroid incidentaloma |
| Journal Title: | European Archives of Oto-Rhino-Laryngology |
| Volume: | 267 |
| Issue: | 7 |
| ISSN: | 0937-4477 |
| Publisher: | Springer |
| Date Published: | 2010-07-01 |
| Start Page: | 1019 |
| End Page: | 1026 |
| Language: | English |
| DOI: | 10.1007/s00405-010-1207-1 |
| PUBMED: | 20155360 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Export Date: 20 April 2011" - "CODEN: EAOTE" - "Source: Scopus" |
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