The incidental thyroid nodule

Incidental thyroid nodules that are found on an imaging study performed for reasons other than thyroid pathology represent a common scenario encountered by health care providers. The initial workup for these nodules comprises a thorough history and physical examination, thyroid function tests, a ded...

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Bibliographic Details
Published in:CA: a cancer journal for clinicians 2018-03, Vol.68 (2), p.97-105
Main Authors: Fisher, Sarah B., Perrier, Nancy D.
Format: Article
Language:English
Subjects:
Biopsy, Fine-Needle
Diagnosis
Diagnosis, Differential
endocrine neoplasm
Humans
Incidental Findings
Medical diagnosis
Medical imaging
Molecular Diagnostic Techniques
Nodules
Pathology
Positron-Emission Tomography - methods
Practice Guidelines as Topic
Thyroid
Thyroid Function Tests
Thyroid gland
thyroid neoplasm
Thyroid Neoplasms - diagnosis
Thyroid Neoplasms - pathology
Thyroid Neoplasms - surgery
thyroid nodule
Thyroid Nodule - diagnosis
Thyroid Nodule - pathology
Thyroid Nodule - surgery
Ultrasonography - methods
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Description
Summary:Incidental thyroid nodules that are found on an imaging study performed for reasons other than thyroid pathology represent a common scenario encountered by health care providers. The initial workup for these nodules comprises a thorough history and physical examination, thyroid function tests, a dedicated thyroid ultrasound, and fine‐needle aspiration of any suspicious lesions. Management ranges from observation and reassurance to surgical resection and depends on the cytologic diagnosis. In cases of cytologically indeterminate or discordant nodules, surgical excision (lobectomy) offers a definitive diagnosis, although molecular testing or a reasonable period of observation may be useful as less invasive adjuncts. CA Cancer J Clin 2018;68:97‐105. © 2018 American Cancer Society.
ISSN:0007-9235
1542-4863
DOI:10.3322/caac.21447