Borges Alexandra
Serviço de Radiologia, Instituto Português de Oncologia, Lisboa, Portugal.
Acta Med Port. 2006 Jul-Aug;19(4):325-33. Epub 2007 Jan 23.
A growing number of thyroid nodules are detected incidentally during imaging tests performed for unrelated reasons and constitute both a clinical and public health problem. Due to scarce information and lack of long term follow-up studies of individuals with subclinical nodules, there are no consensual guidelines for the management and follow-up of these cases leading to different approaches by different clinician's and a lot of controversy issues surrounding this matter. In order to help standardize the approach to subclinical thyroid nodules an extensive literature review and evidence-based guidelines, in the form of algorithms, are provided.
越来越多的甲状腺结节是在因无关原因进行的影像学检查中偶然发现的,这构成了一个临床和公共卫生问题。由于关于亚临床结节患者的信息匮乏且缺乏长期随访研究,对于这些病例的管理和随访没有达成共识的指南,导致不同临床医生采取不同的方法,围绕这一问题存在诸多争议。为了帮助规范亚临床甲状腺结节的处理方法,本文提供了一份广泛的文献综述以及以算法形式呈现的循证指南。