Reed J W, McCowen K D
Postgrad Med. 1980 Feb;67(2):169-72. doi: 10.1080/00325481.1980.11715372.
In patients with hyperthyroidism and a palpable solitary nodule, the physician should be alert to the need for further evaluation before a method of therapy is chosen. In our opinion, surgery should be the treatment of choice for a hyperthyroid patient with a "cold" solitary thyroid nodule. We no longer believe that hyperthyroidism minimizes the possibility of coexistent thyroid carcinoma in hyperthyroid patients with hypofunctioning nodules. We would also suggest a reexamination of the concept of thyroid carcinoma being dependent on thyroid-stimulating hormone.
对于患有甲状腺功能亢进且可触及单个结节的患者，在选择治疗方法之前，医生应警惕进一步评估的必要性。我们认为，手术应是患有“冷”性甲状腺单个结节的甲状腺功能亢进患者的首选治疗方法。我们不再认为甲状腺功能亢进会降低甲状腺功能减退结节的甲状腺功能亢进患者并存甲状腺癌的可能性。我们还建议重新审视甲状腺癌依赖于促甲状腺激素的概念。
