solitary thyroid nodule


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solitary thyroid nodule

A discrete enlargement of an otherwise normal thyroid gland Epidemiology ♀:♂ 4:1; most are incidental findings during autopsy or surgical exploration for other reasons DiffDx Colloid–adenomatous nodule–42-77% of STNs, follicular adenoma–15-40%, CA–8-17% Diagnosis FNA biopsy, radionuclide scanning–131I, 99mTc, ultrasonography Management Malignant and indeterminant lesions are treated by surgery
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Solitary thyroid nodule in adult Ethiopian patients: analysis and experience in management in a teaching hospital.
Other subjects include early treatment of the larynx, sentinel lymph node biopsy for oral cancer, and the solitary thyroid nodule.
Patient age over 45 years is no longer a factor that should raise clinical suspicion with a solitary thyroid nodule greater than 1 cm in diameter in the setting of an unknown TSH level, according to the new guidelines.
76) Although a fine-needle thyroid aspiration (FNTA) is recommended as the initial step in evaluating a solitary thyroid nodule, (77) a radionuclide scan should be the first test performed if it is known that the TSH level is suppressed.
Examples are hypothyroidism with mild, diffuse thyroid enlargement; hyperthyroid Graves disease without ophthalmopathy; or a solitary thyroid nodule.
Among patients with only a solitary thyroid nodule upon palpation, 50% have a multinodular goiter on thyroid ultrasound.
8) Thus, no additional workup may be indicated in the absence of ultrasonographic abnormality Ultrasonography in patients with an apparent solitary thyroid nodule may reveal multiple nodules in 20% to 50% of patients.
In this study, ultrasound proved to be the most accurate modality for differentiating a solitary thyroid nodule from a multinodular process.
Solitary thyroid nodules in 71 children and adolescents.
Since solitary thyroid nodules are present in nearly 10% of adults--and since 95% of these nodules are benign--it is important to be able to distinguish between thyroid cancer and benign growths.