• American family physician · Sep 1994

    Review

    Management of thyroid nodules.

    • S F Rifat and M T Ruffin.
    • University of Michigan Medical School, Ann Arbor.
    • Am Fam Physician. 1994 Sep 15; 50 (4): 785-90.

    AbstractClinically apparent thyroid nodules occur in about 5 percent of the population. Because most patients with thyroid nodules present initially to their primary care physician, family physicians should have a thorough understanding of the diagnosis and treatment of thyroid nodules. The history and physical examination may be helpful in detecting thyroid nodules but are not useful in predicting malignancy. Furthermore, laboratory studies, ultrasonography and nuclear medicine scans do not reliably differentiate between benign and malignant thyroid nodules. In most cases, fine-needle aspiration biopsy can accurately identify malignant thyroid nodules. Fine-needle aspiration biopsy is safe and can be performed in an office setting.

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