[Management of thyroid nodule]

J Radiol. 2009 Mar;90(3 Pt 2):354-61. doi: 10.1016/s0221-0363(09)72520-x.
[Article in French]

Abstract

The widespread use of imaging (ultrasonography, doppler, CT) has led to an "epidemic" of thyroid nodules. More often observed in women, the management of thyroid nodules is a recurring problem in routine clinical practice. Fine needle aspiration cytology (FNAC) of suspicious nodule on ultrasound is the most reliable tool to select patients requiring surgery. Scintigraphy is not accurate enough to predict malignancy, the small size of a nodule is not a reassuring factor for the clinician and the prevalence of cancer is as frequent for isolated nodules or multinodular goiter. Thyroid cancer corresponds to 9 to13% of nodules undergoing FNAC and prognosis is good for differentiated carcinomas.

Publication types

  • Case Reports
  • Comparative Study
  • Review

MeSH terms

  • Adult
  • Biopsy, Fine-Needle
  • Carcinoma* / diagnosis
  • Carcinoma* / diagnostic imaging
  • Carcinoma* / radiotherapy
  • Carcinoma* / surgery
  • Female
  • Follow-Up Studies
  • Goiter, Nodular* / diagnosis
  • Goiter, Nodular* / diagnostic imaging
  • Goiter, Nodular* / surgery
  • Humans
  • Iodine Radioisotopes / therapeutic use
  • Male
  • Middle Aged
  • Pregnancy
  • Prognosis
  • Radionuclide Imaging
  • Risk Factors
  • Sensitivity and Specificity
  • Sex Factors
  • Thyroid Gland / pathology
  • Thyroid Neoplasms* / diagnosis
  • Thyroid Neoplasms* / diagnostic imaging
  • Thyroid Neoplasms* / radiotherapy
  • Thyroid Neoplasms* / surgery
  • Thyroid Nodule* / diagnosis
  • Thyroid Nodule* / diagnostic imaging
  • Thyroid Nodule* / epidemiology
  • Thyroid Nodule* / pathology
  • Thyroid Nodule* / surgery
  • Thyroidectomy
  • Time Factors
  • Ultrasonography

Substances

  • Iodine Radioisotopes