孤立性甲状腺结节
Solitary thyroid nodule.
作者信息
Wade H
出版信息
Ann R Coll Surg Engl. 1974 Jul;55(1):13-20.
The pathological conditions responsible for a truly solitary thyroid nodule are discussed and a policy of management is outlined for a patient who presents with a clinically solitary nodule. Sophisticated methods of investigation and treatment, while often helpful, are not essential. Scanning is not a highly accurate diagnostic tool, and the solitary nodule can be treated effectively without frozen section or isotopes. The incidence of unsuspected carcinoma in a solitary nodule in a euthyroid patient is high enough to justify exploration in all cases in which the patient is fit for surgery.
本文讨论了导致真正孤立性甲状腺结节的病理状况，并概述了针对临床出现孤立性结节患者的管理策略。复杂的检查和治疗方法虽常有助益，但并非必不可少。扫描并非高度准确的诊断工具，且孤立性结节无需冰冻切片或同位素即可得到有效治疗。甲状腺功能正常患者的孤立性结节中意外癌的发生率高到足以证明在所有适合手术的病例中均应进行探查。
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