Journal
CA-A CANCER JOURNAL FOR CLINICIANS
Volume 68, Issue 2, Pages 97-105Publisher
WILEY
DOI: 10.3322/caac.21447
Keywords
endocrine neoplasm; incidental findings; thyroid neoplasm; thyroid nodule
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Incidental thyroid nodules that are found on an imaging study performed for reasons other than thyroid pathology represent a common scenario encountered by health care providers. The initial workup for these nodules comprises a thorough history and physical examination, thyroid function tests, a dedicated thyroid ultrasound, and fine-needle aspiration of any suspicious lesions. Management ranges from observation and reassurance to surgical resection and depends on the cytologic diagnosis. In cases of cytologically indeterminate or discordant nodules, surgical excision (lobectomy) offers a definitive diagnosis, although molecular testing or a reasonable period of observation may be useful as less invasive adjuncts. (C) 2018 American Cancer Society.
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