[The "cold" thyroid nodule].
The main problem posed by an (apparent) solitary thyroid nodule is cancer identification, present in about 10% of the nodules excised surgically. This percent might increase to 25-30% in the cold scintigraphic nodules. Therefore, a combination of all the methods for nodule assessment is necessary: anamnesis, physical examination, functional tests, therapeutic test with tyrosine and thyroid imaging, but mainly the intensive active exploration including puncture-biopsy with a fine needle and exeresis with extemporaneous and paraffin morphological checking. Starting from a two decades' experience of a group of endocrinologists, surgeons, anatomo-pathologists and specialists in nuclear medicine, in 2,289 thyropathies operated--of whom 1691 (poly)nodular goitres and 1,190 non-capturing nodules--the authors suggest an investigation algorithm for achieving a differentiated surgery in terms of the pre- and intraoperative morphological findings. This attitude permitted both the improvement of the surgeries of thyroid cancers and the exeresis of benign nodules under low-risk surgical conditions or avoidance of a "non-necessary" surgery.
Diaconescu
M R
MR
Clinica de chirurgie IV, Institutul de Medicină şi Farmacie, Iaşi.
Strat
V
V
Chifan
M
M
Georgescu
S
S
Bordea
M
M
Zbranca
E
E
Mogoş
V
V
Găleşanu
C
C
Dobrescu
G
G
Baran
T
T
D001706:Biopsy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011877:Radionuclide Imaging; D013959:Thyroid Diseases / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D013961:Thyroid Gland / Q000000981:diagnostic imaging / Q000473:pathology; D013965:Thyroidectomy
Nodului tiroidian "rece".