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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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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.
[FIGURE 6 OMITTED] COMMENT Pediatric solitary thyroid nodules that are warm and hot on scan may represent SPHTNs.
 
 
 
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