Burrow G N
Yale J Biol Med. 1980 Jul-Aug;53(4):325-32.
Although there is considerable controversy about the proper management of the solitary nodule, certain information may be useful in reaching this decision. Age, sex, and a previous history of external irradiation to the head and neck are helpful as are the clinical characteristics of the thyroid gland. Whether the nodule is functioning or "cold" on thyroid scan, and cystic or solid on thyroid ultrasound is also helpful. Based on these findings, the physician must decide whether to recommend surgery or thyroid hormone suppressive therapy.
尽管对于孤立性结节的恰当处理存在相当大的争议，但某些信息可能有助于做出这一决策。年龄、性别以及既往头颈部接受外照射的病史是有帮助的，甲状腺的临床特征也是如此。甲状腺扫描时结节是功能性的还是“冷”结节，以及甲状腺超声显示结节是囊性还是实性，这些同样有帮助。基于这些发现，医生必须决定是建议手术还是甲状腺激素抑制治疗。
