[The "cold" thyroid nodule]. / Nodului tiroidian "rece".
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir
; 39(1): 1-10, 1990.
Article
en Ro
| MEDLINE
| ID: mdl-2149188
ABSTRACT
The main problem posed by an (apparent) solitary thyroid nodule is cancer identification, present in about 10% of the nodules excised surgically. This percent might increase to 25-30% in the cold scintigraphic nodules. Therefore, a combination of all the methods for nodule assessment is necessary anamnesis, physical examination, functional tests, therapeutic test with tyrosine and thyroid imaging, but mainly the intensive active exploration including puncture-biopsy with a fine needle and exeresis with extemporaneous and paraffin morphological checking. Starting from a two decades' experience of a group of endocrinologists, surgeons, anatomo-pathologists and specialists in nuclear medicine, in 2,289 thyropathies operated--of whom 1691 (poly)nodular goitres and 1,190 non-capturing nodules--the authors suggest an investigation algorithm for achieving a differentiated surgery in terms of the pre- and intraoperative morphological findings. This attitude permitted both the improvement of the surgeries of thyroid cancers and the exeresis of benign nodules under low-risk surgical conditions or avoidance of a "non-necessary" surgery.
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Banco de datos:
MEDLINE
Asunto principal:
Enfermedades de la Tiroides
Tipo de estudio:
Diagnostic_studies
/
Prognostic_studies
Límite:
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Ro
Revista:
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir
Año:
1990
Tipo del documento:
Article