[Is preoperative scintigraphy in euthyroid nodular goiter necessary?].
Preoperative thyroid isotope scan would influence the operative procedure and the perioperative management in patients with nontoxic goiter only if it raises suspicion of malignancy. However, the scintigram shows significantly lower sensitivity and specificity in the detection and prediction of malignant nodules in the thyroid gland than the ultrasound examination. Thyroid isotope scan is more expensive than ultrasonography, and its routine use in the investigation of nontoxic nodular goiter should be abandoned.
Mann
B
B
Chirurgische Klinik des UKBF, FU Berlin.
Schmale
P
P
Schwarz
A
A
Hotz
H G
HG
Stremmel
W
W
Buhr
H J
HJ
D003362:Cost-Benefit Analysis; D003937:Diagnosis, Differential; D003955:Diagnostic Tests, Routine / Q000191:economics; D006044:Goiter, Nodular / Q000000981:diagnostic imaging* / Q000191:economics / Q000601:surgery; D006801:Humans; D011446:Prospective Studies; D011877:Radionuclide Imaging; D012680:Sensitivity and Specificity; D013964:Thyroid Neoplasms / Q000000981:diagnostic imaging* / Q000191:economics / Q000601:surgery; D013965:Thyroidectomy / Q000191:economics
Ist die präoperative Szintigraphie bei der euthyreoten Knotenstruma notwendig?