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Management of Thyroid nodules in adult patients.

Eng CY, Quraishi MS, Bradley PJ - Head Neck Oncol (2010)

Bottom Line: Thyroid nodule is a common presentation and requires a structured diagnostic approach to ascertain the risk of malignancy and determine appropriate management.This review article highlights the key points in the history and examination which can help with risk stratification.It also discussed the application of fine needle aspiration cytology findings and the British Thyroid Association Guidelines in clinical practice.

View Article: PubMed Central - HTML - PubMed

Affiliation: ENT Department, Doncaster Royal Infirmary, Armthorpe Road, Doncaster DN2 5LT, UK. cyeng@doctors.org.uk

ABSTRACT
Thyroid nodule is a common presentation and requires a structured diagnostic approach to ascertain the risk of malignancy and determine appropriate management. This review article highlights the key points in the history and examination which can help with risk stratification. It also discussed the application of fine needle aspiration cytology findings and the British Thyroid Association Guidelines in clinical practice.

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Thyroid Nodule management flow chart.
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Figure 3: Thyroid Nodule management flow chart.

Mentions: Given the above false-negative rate of FNAC results, the probability of a benign thyroid nodule being accurately diagnosed as benign from a single FNAC is 90%. However, the accuracy of diagnosis increases significantly to 98% if two separate aspirates were performed on separate occasions [7]. As such, having 2 aspirates decreases the false negative rate to 1.2% [7]. A diagnostic flowchart is shown in Figure 3.


Management of Thyroid nodules in adult patients.

Eng CY, Quraishi MS, Bradley PJ - Head Neck Oncol (2010)

Thyroid Nodule management flow chart.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2877029&req=5

Figure 3: Thyroid Nodule management flow chart.
Mentions: Given the above false-negative rate of FNAC results, the probability of a benign thyroid nodule being accurately diagnosed as benign from a single FNAC is 90%. However, the accuracy of diagnosis increases significantly to 98% if two separate aspirates were performed on separate occasions [7]. As such, having 2 aspirates decreases the false negative rate to 1.2% [7]. A diagnostic flowchart is shown in Figure 3.

Bottom Line: Thyroid nodule is a common presentation and requires a structured diagnostic approach to ascertain the risk of malignancy and determine appropriate management.This review article highlights the key points in the history and examination which can help with risk stratification.It also discussed the application of fine needle aspiration cytology findings and the British Thyroid Association Guidelines in clinical practice.

View Article: PubMed Central - HTML - PubMed

Affiliation: ENT Department, Doncaster Royal Infirmary, Armthorpe Road, Doncaster DN2 5LT, UK. cyeng@doctors.org.uk

ABSTRACT
Thyroid nodule is a common presentation and requires a structured diagnostic approach to ascertain the risk of malignancy and determine appropriate management. This review article highlights the key points in the history and examination which can help with risk stratification. It also discussed the application of fine needle aspiration cytology findings and the British Thyroid Association Guidelines in clinical practice.

Show MeSH
Related in: MedlinePlus