Rallison M L, Dobyns B M, Keating F R, Rall J E, Tyler F H
JAMA. 1975 Sep 8;233(10):1069-72.
Of 5,179 school children surveyed in Utah, Nevada, and Arizona for thyroid abnormalities because of possible exposure to radiation from fallout, nodularity of the thyroid was found in 98 (1.8%). In 34, the nodularity represented lobulation associated with adolescent goiter, and in 31, thyroiditis. Two malignant neoplasms were found. In a normal childhood population in which nodularity is incidentally discovered on physical examination, the risk of nodularity being malignant is approximately 2%. Factors that favor exploration of thyroid nodules in children are discreteness, growth of the mass, singleness, and absence of other thyroid disease.
在犹他州、内华达州和亚利桑那州对5179名学童进行了调查，这些学童因可能接触到沉降物辐射而接受甲状腺异常检查，其中98名（1.8%）发现有甲状腺结节。在34名学童中，结节表现为与青春期甲状腺肿相关的叶状结构，31名学童患有甲状腺炎。发现了两例恶性肿瘤。在正常儿童群体中，通过体格检查偶然发现甲状腺结节，该结节为恶性的风险约为2%。有利于对儿童甲状腺结节进行探查的因素包括结节的离散性、肿块生长、单一性以及无其他甲状腺疾病。
