van Heerden B B, van Heerden P D, van Zyl J A, Bouwer E L
S Afr Med J. 1977 Apr 9;51(15):513-4.
The value of radionuclide scanning of the thyroid gland was investigated in 125 patients with solitary thyroid nodules. Fifty-seven of the 95 patients with 'cold' nodules underwent surgery. The incidence of malignant nodules in this group was 16%; therefore surgery is recommended for all solitary 'cold' nodules. Of the 30 patients with 'warm' nodules, 20 were treated surgically and in only 1 patient was the nodule malignant. This incidence is probably not significant. Surgery is, however, also recommended for all solitary 'warm' nodules because of the possibility of toxic change. Accurate planning of the surgical procedure depends on any function of the nodule in question and this can be determined with certainty only by radionuclide scanning.
对125例甲状腺单发结节患者进行了甲状腺放射性核素扫描价值的研究。95例“冷”结节患者中有57例接受了手术。该组恶性结节的发生率为16%；因此，建议对所有甲状腺单发“冷”结节进行手术。30例“温”结节患者中，20例接受了手术治疗，仅1例结节为恶性。该发生率可能无统计学意义。然而，由于存在发生毒性改变的可能性，也建议对所有甲状腺单发“温”结节进行手术。手术方案的精确规划取决于所讨论结节的任何功能，而这只有通过放射性核素扫描才能确定。
