Tryggvason Geir, Briem Birgir
Laeknabladid. 2017;102(1):23-27. doi: 10.17992/lbl.2017.01.117.
Thyroid nodules are common and their incidence has increased due to various factors. Systematic approach to the work-up of thyroid nodules is necessary to decrease overdiagnosis as well as over treatment. Applying the trifecta of history, physicial examination and high-resolution ultrasound (HRUS) as well as fine needle aspiration biopsy (FNAB) with added TSH measurement is important in the work-up. HRUS is a central part in the diagnostic approach, being able to risk classify nodules and selecting nodules for FNAB. Systematic analysis of aspirates is necessary to simplify communication between cytologists and clinicians. 1Department of Otolaryngology - Head and Neck Surgery, Landspitali, Fossvogi, 2Department of Medicine, University of Iceland. Key words: thyroid nodule, thyroid cancer, ultrasound, cytology Correspondence: Geir Tryggvason, geirt@lsh.is.
甲状腺结节很常见，由于各种因素其发病率有所上升。采用系统的方法对甲状腺结节进行检查对于减少过度诊断和过度治疗很有必要。在检查过程中，应用病史、体格检查、高分辨率超声（HRUS）以及细针穿刺活检（FNAB）并增加促甲状腺激素（TSH）测量这“三件套”很重要。HRUS是诊断方法的核心部分，能够对结节进行风险分级并选择进行FNAB的结节。对穿刺物进行系统分析对于简化细胞学家和临床医生之间的沟通很有必要。1. 冰岛大学附属医院耳鼻喉头颈外科，福斯沃吉；2. 冰岛大学医学系。关键词：甲状腺结节；甲状腺癌；超声；细胞学。通信作者：盖尔·特里格瓦松，geirt@lsh.is
