Spencer R, Brown M C, Annis D
Br J Surg. 1977 Dec;64(12):841-6. doi: 10.1002/bjs.1800641202.
This study examines the diagnostic accuracy of ultrasonic scanning in the recognition of multinodular goitre in 87 patients referred for examination who were thought by the referring clinician to have a single nodule in the thyroid gland. Twenty-five were found to have multinodular glands, 23 of which were correctly identified by ultrasound. Of those who had truly solitary nodules, ultrasonic scanning enabled us to identify all 23 who had cystic lesions and 35 out of the 39 who had predominantly solid lesions. The clinical significance of these observations in the management of patients with so-called 'single nodules' is discussed.
本研究检测了超声扫描对87例因甲状腺单结节转诊检查患者的多结节性甲状腺肿的诊断准确性。其中25例被发现有多结节性甲状腺，超声正确识别出23例。在真正为单结节的患者中，超声扫描使我们能够识别出所有23例有囊性病变的患者以及39例主要为实性病变患者中的35例。文中讨论了这些观察结果在所谓“单结节”患者管理中的临床意义。
