engleski

Diagnostic work_up on thyroid nodule

Thyroid nodules are today very common, because of widespread use of now diagnostic methods, specially ultrasonography. The prevalence of thyroid nodules by means of ultrasound is from 10-76 %. The goal of diagnostic procedure is to reduce unnecessary surgery of benign thyroid disese, and earlier treatment malignant nodules. to reduce morbidity and mortality. Diagnosis of thyroid nodules is now easy. After clinical examination and compiling a family history of thyroid disases, the diagnosis can be improved with sensitive TSH determination for evaluation of funcional status, use of high resolution ultrasound and on the basis of ultrasound findings application of fine needle aspiration biopsy. To be able to recognize typical echografhic features suspected of malignancy and to select the nodule for FNAB, an experienced physician is needed. FNAB is the most important method for differentiating benign from malignant thyroid nodules. It is generally accepted that FNAB must be done under US guidance. After the recommended diagnostic procedure, a decision can be made on appropriate therapy. Conclusion: US is the most important method for detection of thyroid nodules. Decision on which nodule must be submitted to FNAB made a physician with experience in utrasound. If echographic criteria suggest malignancy, the size of nodule is not important.

Thyroid nodule; diagnostic procedures

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